WellCare Medicare
Welcome to the WellCare Medicare page. Here you can download policies and procedures specific to both ordering providers and imaging facilities. These include quick reference guides and information designed to assist you in using the RadMD Website to obtain and check authorizations.
If you have any questions about the NIA Program, please contact your dedicated NIA Provider Relations Manager:
- Rhode Island: Meghan Murphy
- Vermont: Meghan Murphy
Update on COVID-19
Documents - Rhode Island
- WellCare RI Announcement Letter
- WellCare RI RBM Frequently Asked Questions
- WellCare RI RBM Ordering Provider Quick Reference Guide
- WellCare RI RBM Rendering Provider Quick Reference Guide
- WellCare RI Provider Education PowerPoint
- WellCare RI Tip Sheet
- WellCare RI Prior Authorization Checklist
- WellCare RI Cardiac Solutions Frequently Asked Questions
- WellCare RI Cardiac Solutions Tip Sheet
- WellCare RI Tip Sheet for MPI vs SE
- WellCare RI Utilization Review Matrix-2021
- WellCare RI Recording of Provider Physical Medicine Training
Documents - Vermont
- WellCare VT Announcement Letter
- WellCare VT RBM Frequently Asked Questions
- WellCare VT RBM Ordering Provider Quick Reference Guide
- WellCare VT RBM Rendering Provider Quick Reference Guide
- WellCare VT Provider Education PowerPoint
- WellCare VT Tip Sheet
- WellCare VT Prior Authorization Checklist
- WellCare VT Cardiac Solutions Frequently Asked Questions
- WellCare VT Cardiac Solutions Tip Sheet
- WellCare VT Tip Sheet for MPI vs SE
- WellCare VT Utilization Review Matrix-2021
- WellCare VT Recording of Provider Physical Medicine Training
RadMD
- Ordering Provider Access
- RadMD Quick Start Guide
- RadMD Benefits and Logon
- RadMD Upload Feature
- Submitting Clinical Information on RadMD
- RadMD View Exam with Tracking Number
- RadMD Shared Access Quick Start Guide
- RadMD Flyer
Recorded General Trainings
Recorded RadMD Demos
Click the link below to see information about the 2013 Jimmo v. Sebelius settlement involving skilled nursing and skilled therapy services.
Clinical Guidelines
- Clinical Guidelines
- Refer to the Utilization Review Matrix document to view specific codes managed by NIA