Click here to decrease font size
Text Size
Click here to increase font size
 

Provider : Medicaid Provider Manual

We recognize that, at times, the administrative requirements of managing your patients' health care can be complex. The Provider Manual is a source of answers to questions you may have about health plan coverage procedures, policies and other facts related to your provision of health care services to our members. 
 

 Preface
 Table of Contents
 Section 1: All About WellCare
 Section 2: Provider Responsibilities
 Section 3: Member Services
 Section 4: Benefits and Limitations
 Section 5: Utilization Management 
 Section 6: Pharmacy
 Section 7: Claims
 Section 8: Appeals and Grievances
 Section 9: Credentialing
 Section 10: Quality Improvement
 Section 11: Medical Records
 Section 12: Case Management
     
    Forms
    Provider Education Materials

 Quick Reference Guide
 

The links above require the ability to open .pdf files. If for any reason you are not able to view these links please click here to download Adobe Reader.

MO Approval Date: 07/22/2008

Member / Provider Secure Sign In

Sign-In Help
Doctor
Behavioral Health
Hospital
Urgent Care
Pharmacy
Other facilities/services
(Vision, Dental, etc)

If you are unable to view PDFs, please download Adobe Reader. Get Acrobat Reader