WellCare Medicare
As part of WellCare’s efforts to provide its Medicare members with access to high quality, cost-effective care, WellCare is expanding its partnership with EviCore to provide utilization management programs for Pain Management, Laboratory Management, Musculoskeletal Therapies (PT/OT) and Sleep Management. The program expansion is for dates of service January 1, 2020 and after.
The following states are included in the WellCare Medicare Expansion; CT, MO, NH, NC, TN, TX, WA, MI, OH, IN, IL.
There are currently no General Resources.
Laboratory Management
Musculoskeletal
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Registration Instructions
EviCore highly recommends providers take full advantage of the online capabilities at https://www.evicore.com/provider
Here you can request prior authorization, review our nationally accepted evidence-based guidelines, and receive announcements about program updates. Access requires only your email address and a brief registration.