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Overview & Resources

WellCare of South Carolina partners with providers to develop and deliver high-quality, cost-effective health care solutions. We understand that maintaining a healthy community starts with providing care to those who need it most. We are committed to improving the quality of life of our millions of members, who often include some of our nation’s most vulnerable populations.

Medical Expense Initiative

In 2016, edits will be derived directly from the state and national Medicaid editing guidelines. This will save money on vendor fees and additional costs each year. To learn more, please review the National and State-level Medicaid rules.

Resources


Get detailed health plan information on important topics such as coverage procedures and policies.

This document includes network management and provider relations terriroty assignments contact list for WellCare of South Carolina providers.

Contains key phone numbers and information on claims, appeals and more.

Details the various tools available to help providers do business with Staywell.

How to quickly get in touch with WellCare to get your questions answered.

Learn about the tools available in our secure provider portal.

Medicaid Newsletters

Claims Payment Policy image
August 22, 2017

Issue II 2017 Provider Newsletter

Our portal is getting a whole new look and streamlined tools.

Balance Billing image
November 23, 2016

Issue IV Medicaid Provider Newsletter

On Sept. 1, 2016, WellCare deployed a new edit to South Carolina Professional Medicaid Claims that rejects CMS1500/837P submissions if the billing provider and/or rendering provider taxonomy code is incorrect or omitted.

People with prescriptions
April 13, 2017

Issue I 2017 Medicaid Provider Newsletter

Formulary Search App: Prescribe with confidence - every drug, every plan, every time.

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Last Updated On: 5/5/2017