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Hospital Manual

We recognize the administrative requirements of managing your patients' health care can be complex at times. The Hospital Manual is a source of answers to questions you may have about health plan coverage procedures, policies and other facts related to your provision of health care services to our members.

 Welcome Letter

 

Table of Contents

Section 1

Quick Reference Guide

Section 2

All About WellCare

Section 3

Hospital Responsibilities

Section 4

Member Services

Section 5

Network Participation

Section 6

Claims

Section 7

Scope of Services

Section 8

Utilization Management

Section 9

Appeals and Grievances

Section 10

Quality Improvement

Section 11

Provider Education Materials

Section 12

Forms

  
Addenda
OH Medicaid Hospital Manual Section 6 Claims HIPAA-SNIP Changes Addendum
  
  

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