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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.


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


This document includes network management and provider relations territory 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.

ProgenyHealth Frequenetly Asked Questions

Medicaid Newsletters

People with prescriptions
January 04, 2018

Issue I 2018 Medicaid Provider Newsletter

The WellCare of SC Executive Leadership Team invites you to attend a Provider appreciation dinner and brief company update. We will have our teams available to answer questions on billing, claims, payment and quality incentive programs for 2018.

Claims Payment Policy image
August 22, 2017

Issue II 2017 Provider Newsletter

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

Introducing WellCare
October 02, 2017

Issue III 2017 Medicaid Provider Newsletter

You wanted a simpler, more efficient way to interact with us. We delivered. The new portal is now live and packed with features to help you care for your patients – our members – to ensure they have a positive health care experience.

Balance Billing image
December 01, 2017

Issue IV Medicaid Provider Newsletter

At WellCare, we value everything you do to deliver quality care to our members – your patients – to make sure they have a positive health care experience.


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Last Updated On: 2/4/2019