Skip to main content

Providers

We partner with providers to develop and deliver high-quality, cost-effective health care solutions.

Getting StartedNon-Wellcare Providers
Size
Print Page Help
alt

MEDICAID

medical plan icon

MEDICARE

tools icon

TOOLS

Multicultural Doctors

New Provider Portal

You spoke. We listened. The all new Provider Portal is now live! You'll have access to a new Portal that will streamline your work, keep you up-to-date more than ever before and provide critical information.
Billing file folders

Provider External Independent Third-Party Review

In accordance with 907 KAR 17:035, if you receive an adverse final decision of a denial, in whole or in part, of a health service or claim for reimbursement related to this service, you may request an external independent third-party review.
Doctor

Updating Provider Directory Information

Learn how to update your information in our provider directory, so we can keep our information current.
Woman in wheelchair being readmitted by nurse

Medicaid: Vaccines for Children (VFC) Program

This program ensures children receive their vaccines and stay healthy. Immunizations should be provided in accordance with ACIP guidelines and the Periodicity Schedule.

Provider Bulletins

  • The latest updates and information for providers.

  • Medicaid:

    Prior Authorization Reinstatement Effective August 1

  • Medicare:

    Updates to Prior Authorization Requirements: Wound Care and Skin Substitutes

Read Bulletins
Contact Us icon

Need help? We're here for you.

Contact Us
Last Updated On: 9/27/2021