Skip to main content

Overview & Resources

WellCare of Kentucky partners with providers to develop and deliver high-quality, cost-effective health care solutions. We understand that maintaining a healthy community starts with providing care to those who need it most. We are committed to improving the quality of life of our millions of members, who often include some of our nation's most vulnerable populations.

Resources


Get detailed health plan information on important topics such as coverage procedures and policies.

Get detailed health plan information on important topics such as coverage procedures and policies.

Contains key phone numbers and information on claims, appeals and more.

Details the various tools available to help providers do business with WellCare.

This document covers some of the most important changes to benefits and processes related to the pandemic. It also includes information about new and ongoing provider resources that WellC

How to quickly get in touch with WellCare to get your questions answered.

Beginning September 1, 2021, WellCare of Kentucky is pleased to announce we are expanding our partnership with National Imaging Associates, Inc.

In keeping with our commitment to promote continuous quality improvement for services provided to WellCare of Kentucky members, effective September 1, 2021, WellCare of Kentucky has entered into an agreement with National Imaging Associates, Inc. (NIA) to implement an Interventional Pain Management (IPM) Program.

Beginning September 1, 2021, WellCare of Kentucky is pleased to announce we are expanding our partnership with National Imaging Associates, Inc. (NIA) to provide utilization management for outpatient rehabilitative and habilitative physical medicine services on behalf of WellCare of Kentucky membership.

Guide to using self-service features in the provider portal.

Guidelines for submitting HEDIS Flat Files, ESD, and Active DX codes.

A STAR score is a rating system used by Center for Medicare and Medicaid Services (CMS) to measure how well healthcare plans perform in categories such as quality of care and customer service. Ratings range from 1 STAR (poorest quality) to 5 STARS (highest quality).

Quality care is a team effort. Thank you for playing a starring role!

Provides authorization to WellCare to load providers under a certain tax ID

Provides authorization to WellCare to load New providers under a certain tax ID

Wellcare Hearing Plan

Wellcare Vision Plan

Wellcare Gold Dental Plan

Wellcare Silver Dental Plan

Wellcare Bronze Dental Plan

Wellcare Copper Dental Plan

Wellcare Platinum Dental Plan

Medicare Provider/Facility Tip Sheets

Follow-Up After Emergency Department Visit For People With High-Risk Multiple Chronic Conditions (FMC)

Hospitalization for Potentially Preventable Complications (HPC)

Follow-Up After Emergency Department Visit For People With High-Risk Multiple Chronic Conditions (FMC) Medicare Beneficiaries

Contact Us icon

Need help? We're here for you.

Contact Us
Last Updated On: 12/4/2020