WellCare of New Jersey
Welcome to the WellCare of New Jersey 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: Seth Cohen
Update on COVID-19
WellCare of New Jersey - Documents
- WellCare of NJ Webinar Flyer
- WellCare of NJ RBM Frequently Asked Questions
- WellCare of NJ RBM Ordering Provider Quick Reference Guide
- WellCare of NJ RBM Rendering Provider Quick Reference Guide
- WellCare of NJ Provider Education PowerPoint
- WellCare of NJ Prior Authorization Checklist
- WellCare of NJ Cardiac Solutions Frequently Asked Questions
- WellCare of NJ Cardiac Solutions Tip Sheet
- WellCare of NJ Utilization Review Matrix (Medicaid)-2021
- WellCare of NJ Utilization Review Matrix (Medicare)-2021
- WellCare of NJ Medical Specialty Solutions 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.