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CareCentrix Home Health Provider Notification

March 29, 2022

Dear Valued Provider:

As you may know, Wellcare Health Plans has contracted with CareCentrix to manage home health services for our Medicare and SNP members in Kentucky, with a new effective date of July 1, 2022.

Here are the key details:

  • CareCentrix will manage authorizations for Medicare and SNP home health services for both hospital-owned and independent home health agencies.
  • CareCentrix will manage claims for Medicare and SNP home health services for independent home health agencies. Hospital-owned home health agencies will continue to submit claims to Wellcare.
  • CareCentrix will contract, credential, and manage a network of independent home health agencies for Medicare and SNP members.
  • Independent home health agencies will need to sign a new contract directly with CareCentrix prior to July 1, 2022, to remain a participating provider.
  • CareCentrix will not contract, credential, or manage a network of hospital-owned home health agencies for Medicare and SNP members. Wellcare will retain this responsibility.
  • These changes will not affect contracts, authorizations or claims for other lines of business with Wellcare.

If home health providers do not obtain authorization from CareCentrix for Medicare and SNP home health services on or after July 1, 2022, claims may be denied.

Independent home health agencies will be required to submit claims to CareCentrix for Medicare and SNP home health services delivered on or after July 1, 2022. If claims are submitted to Wellcare, they will be rejected. Hospital-owned home health agencies will continue to submit claims to Wellcare.

The following is training information along with the registration link for the corresponding date/time.

Date Time Registration link Meeting ID
June 14, 2022 10:00 a.m. -11:30 a.m. https://carecentrix.webex.com/carecentrix/k2/j.php?MTID=t9d135c46d988db3ae79b4b00ed9070ff 2439 284 2484
June 15, 2022 1:00 p.m. - 2:30 p.m. https://carecentrix.webex.com/carecentrix/k2/j.php?MTID=t642415b4d3f45069441a63240d5c5c5c 2437 337 3246
June 16, 2022 10:00 a.m. - 11:30 a.m. https://carecentrix.webex.com/carecentrix/k2/j.php?MTID=t7409d09fe9c3d3a087ae307c0c1d9936 2429 797 2036
June 21, 2022 1:00 p.m. - 2:30 p.m. https://carecentrix.webex.com/carecentrix/k2/j.php?MTID=t447d58750ff2cdc37d73fee5c381a400 2434 085 0007
June 22, 2022 10:00 a.m. - 11:30 a.m. https://carecentrix.webex.com/carecentrix/k2/j.php?MTID=tb002560c141e1c36c43e00c3f8fd7d29 2424 578 7580
June 23, 2022 1:00 p.m. - 2:30 p.m. https://carecentrix.webex.com/carecentrix/k2/j.php?MTID=t32aef2784412848c347e55780b6140d5 2426 670 7565

If you have questions about Wellcare services, please call Provider Services at 1-855-538-0454 or contact your Provider Relations representative.

Sincerely,
Corey Ewing, Plan President and CEO

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Last Updated On: 8/9/2022