The provider training materials supply our providers with educational resources regarding initiatives that require specific actions by providers.

CMS-Mandated Fraud, Waste and Abuse Training

The Centers for Medicare & Medicaid Services (CMS) has mandated that all delegated and contracted providers who render benefits or services for Medicare Part C and Part D programs must meet fraud, waste and abuse (FWA) training requirements by December 31, 2009. Click here for more information on how to fulfill this requirement.

Medicare Model of Care

Pursuant to MIPPA legislation, WellCare has enhanced our Model of Care program for all WellCare Dual Special Needs Plans (D-SNPs) members. The Model of Care is designed to improve members’ access to medical, social and mental health services while improving transitions of care across health care settings and Providers. The resources below may be used to prepare providers on the implementation of the requirements of the Model of Care program.

• Provider Training
• Frequently Asked Questions
• Job Aid
• Sample Care Plan

State of Florida FARS/CFARS Reporting Training

All Florida behavioral health providers should be submitting reports identifying the Functional Assessment Reporting Scales (FARS for adults and CFARS for children and adolescents). These reports must be completed and submitted each month. WellCare has developed the below training materials for how to create and submit these reports electronically. 

• Table of Contents
• Instruction Manual for Creating FARS/CFARS Reports
• How to Create a FTP Site
• How to Upload the Reports
• CFARS File Layout
• FARS File Layout