MEDICARE MEMBERS: PROTECT YOURSELF AGAINST MEDICARE FRAUD AND IDENTIFY THEFT! THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES OFFICE OF INSPECTOR GENERAL IS ALERTING THE PUBLIC ABOUT A FRAUD SCHEME INVOLVING GENETIC TESTING. LEARN HOW TO PROTECT YOURSELF.
For Providers
Wellcare by Allwell from MHS provides the tools and support you need to deliver the best quality of care.
Join Our Network
- Find out more about becoming a Wellcare by Allwell from MHS contracted provider.
Provider Portal
- Login or create a secure portal account
Notifications
- Medicare Prior Authorizations Updates (PDF)
- Point of Care Formulary Information for Providers (PDF)
- Medicare Member Liability Reinstatement Notice (PDF)
- Medicare Billing Updates (PDF)
- Medicare Provider Authorizations Flexibilities (PDF)
- Peer to Peer and Inpatient Authorization Updates (PDF)
Reference Material
- Welcome Letter (PDF)
- Benefits Overview (PDF)
- 2022 Wellcare by Allwell Provider Manual (PDF)
- 2021 Allwell Provider Manual (PDF)
- Medicare Advantage Plan Overview (PDF)
- Quick Reference Guide (PDF)
- Prior Authorization Tip Sheet (PDF)
- Electronic Funds Transfer (EFT) Payspan (PDF)
- Secure Provider Portal (PDF)
- Risk Adjustment Tip Sheet (PDF)
- QMB Billing (PDF)
- QMB Billing Frequently Asked Questions (PDF)
- 2021 Continuity of Care (CoC) Bonus Program (PDF)
- Improve Patient Care and Quality of Life (PDF)
- Medicare Health Outcomes Survey (HOS) (PDF)
Medical Management
- Medicare Part B List – Effective 1/1/2022 (PDF)
- Medicare PA List — Effective 7/1/2022 (PDF)
- Medicare Pre-Auth Tool
- Inpatient Medicare Authorization Form (PDF)
- Outpatient Medicare Authorization Form (PDF)
- Outpatient Treatment Request Form (PDF)
- Outpatient Psychological Testing Authorization Request Form (PDF)
- Electroconvulsive Therapy (ECT) Authorization Request Form (PDF)
- Psychological or Neuropsych Testing Authorization Request Form (PDF)
Provider Education
Archived Medicare PA & Part B Drug Lists Section
- Medicare PA Updates Effective 10/1/2021 (PDF)
- Medicare PA List - Effective 1/1/2021 (PDF)
- Medicare Part B Drugs - Effective 1/1/2021 (PDF)
- Medicare PA List - Effective 8/1/2021 (PDF)
- Medicare Part B Drugs - Effective 8/1/2021 (PDF)
- PA List 2021 Part B Apendix -Effective 8/1/2021 (PDF)
- Medicare Step Therapy Part B list - Effective 1/1/2021 (PDF)