For Providers

Wellcare by Allwell from MHS provides the tools and support you need to deliver the best quality of care. 

CAHPS and HOS Resources

• CAHPS Resource Guide (PDF)
• Wellcare Provider-Patient Experience (PDF)
• Tips for Improving Patient Experience & Quality of Life (PDF)

Medicare Prior Authorization Summary Change

List effective 7/1/2025

Wellcare By Allwell requires prior authorization (PA) as a condition of payment for many services.  This Notice contains information regarding such prior authorization requirements and is applicable to all Medicare products offered by Wellcare By Allwell.

 Wellcare By Allwell is committed to delivering cost effective quality care to our members.  This effort requires us to ensure that our members receive only treatment that is medically necessary according to current standards of practice.  Prior authorization is a process initiated by the physician in which we verify the medical necessity of a treatment in advance using independent objective medical criteria and/or in network utilization, where applicable.

It is the ordering/prescribing provider’s responsibility to determine which specificcodes require prior authorization. 

 Please verify eligibility and benefits prior to rendering services for all members. Payment, regardless of authorization, is contingent on the member’s eligibility at the time service is rendered. NON-PAR PROVIDERS & FACILITIES REQUIRE AUTHORIZATION FOR ALL HMO SERVICES EXCEPT WHERE INDICATED.  

For complete CPT/HCPCS code listing, please see Online Prior Authorization Tool on our website at Wellcare by Allwell PA tool. 

 Effective July 1, 2025, the following are changes to prior authorization requirements: