Fraud & Abuse - This link provides access for reporting suspected fraudulent and abusive health care practices by providers or members of the Medicaid program. You will also find resources to learn how to recognize possible fraud and abuse, and report suspicious activities. Please note that you may remain anonymous when reporting a fraudulent or abusive health care practice.

Hospital Manual - The Hospital Manual is a resource for institutions that outlines WellCare guidelines on health plan coverage procedures, policies and other information related to the provision of health care services to our members. This document should be used simultaneously with the Quick Reference Guide, Benefit Grids for CFC and / or ABD, and the online tools available through the secured area of our Web site.

Provider Manual - The Provider Manual is a resource for physicians with guidelines on health plan coverage procedures, policies and other information related to the provision of health care services to our members. This document should be used simultaneously with the Quick Reference Guide, Benefit Grids for CFC and / or ABD, and the online tools available through the secured area of our Web site.

Provider Education Materials - On the Provider Education Materials page, you will find resources and guidelines ranging from Adult and Child Preventive Guidelines to Clinical Practice Guidelines. These are intended to assist both institutions and providers within our network. We encourage our providers to refer to these documents on a regular basis.