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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.

Note to Provider
Table of Contents
Section 1: All About WellCare
Section 2: Provider Responsibilities
Section 3: Member Services
Section 4: Utilization Management
Section 5: Pharmacy
Section 6: Claims
Section 7: Appeals and Grievances
Section 8: Credentialing
Section 9: Quality Improvement
Section 10: Medical Records
Section 11: Case Management
Section 12: Behavioral Health

     Forms
     Provider Education Materials

Quick Reference Guide

Addenda
Section 6: HIPAA-SNIP Changes Addendum