- Annual Special Needs Plan Model of Care (MOC) Training 2024
- National Epic Payer Platform Announcement
- Important Pharmacy Claims Processing Change, Effective January 1, 2024
- Medicare Prior Authorization Changes Effective October 1, 2023
- Annual Special Needs Plan Model of Care (MOC) Training
- Reminder: Home Health Notice of Admission (NOA) Change
- COVID-19 Public Health Emergency (PHE) Expiration - Effective May 11, 2023
- Medicare Prior Authorization Change Summary - Effective July 1, 2023
- Appendix A - Medicare Part B Drug List - Effective July 1, 2023
- Reminder of CMS Lab Ordering Guidelines
- Wellcare 2023 $0 Immunizations Part D Vaccines - (PDF)
- Special Needs Plan Model of Care Self-Study Program
- Medicare Part B Drugs List: Effective January 1, 2023 (Appendix A)
- Medicare Prior Authorization Change Summary: Effective January 1, 2023
- CMS Lab Ordering Guidelines Reminder
- nterQual Criteria Rollout: Effective August 1, 2022
- Prior Authorization Change Summary: Effective July 1, 2022
- Prior Authorization Requirement Updates: Effective March 1, 2022
- Wellcare’s Provider Portal – Now with Improved Live Chat
- Point of Care Formulary Information Tools
- CPP 161: Polymerase Chain Reaction Respiratory Viral Panel Testing
- Claims and Payment Policy: Review of NOS, NEC, & Unlisted Codes
- Provider IVR Claims Menu Redesign
- New Portal Features: iCarePath Claim Appeals and Disputes
- New Prepay Edits: Institutional Ambulance Claims
- Prepayment Clinical Validations Edit Policy
- CPP 151: Frequency of Comprehensive Ophthalmological Exams
- New Secure Provider Portal Features Available
- CPP 145: Incorrect Billing for Severe Malnutrition Policy
- $0 Member Liability extended for select services until end of 2020
- Opioid Program MAT Certification
- CPP 133: 340B Drug Payment Reduction Policy
- Prior Authorization Updates: Wound Care & Skin Substitutes
- Wellcare and Managed Health Services
- Intensity-Modulated Radiation Therapy (IMRT) Reimbursement Policy
- Reducing Low Value Care Screenings Claims Edit Guidelines Policy
- DSNP Coinsurance Place of Service Code 22 Update
- ED High Acuity Radiology Utilization Reimbursement Policy
- Medicare Milliman Clinical Guidelines (MCG) Rollout
- New Urine Drug Testing Guidelines
- Prior Authorization Requirements
- Medicare Star Ratings Call to Action
- Annual Wellness Visit and Additional Physical Coding Refresher
- Readmission Policy Update
- New Modifier Claims Edit Guideline (CEG)
- Prior Authorization Requirements
- Dual SNP Cost Share Update
- Important update to Post-Acute Care CCG
- HealthHelp
- New Medicare Cards
- Exciting Authorization Rule Enhancements
- Your Partner in Quality Care
- Provider Notice of Wellcare/DaVita Contract Termination Recension
- Achievements in Clinical Excellence (ACE) Program Discontinuation
- Pharmacy Benefit Manager Effective January 1, 2016
- ICD-10 Transition Effective October 1, 2015
- Coding Reminder
- Inpatient Readmissions Policy
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Last Updated On: 6/12/2024