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:
- Alabama: Tony Salvati
- Arkansas: Leta Genasci
- Connecticut: Charmaine Everett
- Illinois: Leta Genasci
- Indiana: April Sabino
- Louisiana: Gina Braswell
- Michigan: Meghan Murphy
- Maine: Meghan Murphy
- Missouri: Tony Salvati
- Mississippi: Gina Braswell
- New Hampshire: Meghan Murphy
- New York: Seth Cohen
- Ohio: Meghan Murphy
- Tennessee: Tony Salvati
- Texas: Gina Braswell
- Washington: Debbie Patterson
Update on COVID-19
WellCare Documents
- Provider Notification Letter
- Provider Education Webinar Flyer
- Provider Education PowerPoint
- Quick Reference Guide for Ordering Providers
- Quick Reference Guide for Rendering Providers
- Frequently Asked Questions
- Utilization Review Matrix-2021
- Prior Authorization Checklist
- Cardiac Checklist
- Cardiac Frequenty Asked Questions
- Cardiac Tip Sheet - Myocardial Perfusion Imaging vs. Stress Echo
- WellCare Medicare RBM Recording of Provider 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
Clinical Training Modules
We have a series of clinical training modules that will help you avoid delays and ensure that you have the right information before submitting your prior authorization request. Click here to access them.