On April 22, 2024, UnitedHealth Group issued a press release, providing an update on the Change Healthcare cybersecurity incident that occurred on Feb. 21, 2024. Given the size of the data impacted, the investigation to determine whose data is impacted is expected to take several months. UnitedHealth Group believes this situation will impact “a substantial proportion of people in America” and is offering immediate credit monitoring and identity protection services, as well as a dedicated contact center to address questions. Visit Change Healthcare Cyberattack Support and/or reach out to the contact center at 1-866-262-5342 regarding any questions.
On April 22, 2024, UnitedHealth Group issued a press release, providing an update on the Change Healthcare cybersecurity incident that occurred on Feb. 21, 2024. Given the size of the data impacted, the investigation to determine whose data is impacted is expected to take several months. UnitedHealth Group believes this situation will impact “a substantial proportion of people in America” and is offering immediate credit monitoring and identity protection services, as well as a dedicated contact center to address questions. Visit Change Healthcare Cyberattack Support and/or reach out to the contact center at 1-866-262-5342 regarding any questions.
For Providers
Wellcare by Allwell from MHS provides the tools and support you need to deliver the best quality of care.
Submit Attestations Online for Chronically Ill Members
Effective January 1, 2023, fax attestations are no longer accepted
Special Supplemental Benefits for Chronically Ill (SSBCI) are offered to Wellcare’s highest-risk members who meet specific criteria for eligibility based on the Centers for Medicare and Medicaid Services (CMS) guidelines.
Effective January 1, 2023, you can check eligibility requirements and submit attestations on behalf of members online at ssbci.rrd.com.
Steps to determine eligibility, submit attestations and activate benefits
Members are required to schedule an office visit with their doctor or participating physician group for evaluation. Once appointment is made follow the steps below:
- Visit ssbci.rrd.com.
- Follow the steps on ssbci.rrd.com to evaluate your patient against the eligibility requirements outlined on ssbci.rrd.com.
- Submit an attestation form through ssbci.rrd.com indicating your patient meets the eligibility requirements.
- Submit a claim with the appropriate diagnosis codes from this office visit indicating a member has been diagnosed with one or more qualifying chronic conditions listed on ssbci.rrd.com.
- Upon receipt of all required information, the member will be sent an approval or denial letter within 10 business days. Approval letters include information on steps the member should follow to activate supplemental member benefits.
If you have questions regarding the information contained in this update, contact your dedicated Provider Relations Representative with the health plan.
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
- COVID-19 Medicare Public Health Emergency Notice (PDF)
- Medicare Member Liability Reinstatement Notice (PDF)
- Peer to Peer and Inpatient Authorization Updates (PDF)
- Medical Necessity Criteria
- Concert Genetic Testing (PDF)
- Concert Genetics Provider Notice: Infectious Disease - Lab Screening and Testing (PDF)
- Wellcare by Allwell Bulletin (PDF)
Reference Material
- 2024 Wellcare by Allwell Provider Manual (PDF)
- Electronic Funds Transfer (EFT) Payspan (PDF)
- Wellcare Provider Patient Experience Survey (PDF)
- Health Outcomes Survey (HOS) (PDF)
- 2024 HEDIS Quick Reference Guide (PDF)
- Step Therapy Part B Provider updated (PDF)
Medical Management
- Medicare PA List — Effective 10/1/2023 (PDF)
- Medicare Pre-Auth Tool
- Inpatient Medicare Authorization Form (PDF)
- Outpatient Medicare Authorization Form (PDF)
- Outpatient Treatment Request Form (PDF)