We would like to take this opportunity to inform you that effective 4/1/2020, there will be an increased focus on ensuring that our providers follow our notification requirements as stated within your provider manual.
Inpatient Admissions: WellCare requires notification by the next business day when a member is admitted to a facility. This includes all admissions, including admissions to behavioral health facilities. WellCare needs this notification to obtain clinical information to perform case management and ensure coordination of services. If you fail to notify WellCare of admissions or observation stays, the claim may be denied.
Thank you for your continued participation and cooperation. We look forward to working with you to deliver the highest quality of care to your patients, our members.
