Provider : Hospital Provider 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

Section 2

Section 3

Section 4

Section 5

Section 6

Section 7

Section 8

Section 9

Section 10

Section 11

Section 12

Quick Reference Guide

All About WellCare

Hospital Responsibilities

Member Services

Network Participation

Claims

Scope of Services

Utilization Management

Appeals and Grievances

Quality Improvement

Provider Resources

Forms

Addenda

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