WellCare of North Carolina wants to ensure that our members have access to quality, cost-effective health care solutions. Our Quality Improvement (QI) program aims to improve patient safety and care so our members can enhance their quality of life by staying healthy or managing their chronic health problems.
HEDIS® is a mandatory process that occurs annually. We've developed a toolkit to help identify required preventive services.
2020 HEDIS Toolkit
2019 HEDIS Toolkit
Medical Records Audits
Quality Improvement (QI) may conduct annual medical record audits in physician offices. Patient records are reviewed for evidence that care and screenings have been documented.
Quality Improvement Participation
Network providers are contractually required to cooperate with quality improvement activities. Providers are also invited to volunteer for the Quality Improvement (QI) Program. Please contact us if you’re interested in volunteering.