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To:
OMR
From:
WellCare Health Plans
Subject:
Changes to Medication Benefit Process - Effective January 1, 2010
Date:
Dec 31 2009
Expires:
Dec 31 2011

Dear Provider,

 

WellCare Health Plans, Inc. would like to inform you of a change in how redeterminations (appeals) will be processed beginning January 1, 2010.

 

In order to facilitate redetermination requests and to offer better service to our providers and members, WellCare has made the decision to have medical benefit claim redeterminations and medication benefit redeterminations processed separately.

 

Beginning January 1, 2010, if you would like to request a redetermination (appeal) for a medication benefit, please utilize the following contact information to submit a redetermination request.

 

To request a medication appeal for a Medicare member:

         WellCare Health Plans, Inc.                               Fax: 1-866-388-1766

         Attn: Pharmacy Appeals

         P.O. Box 31383

         Tampa, FL  33631-3383

 

Please download the attached notice and the new Medication Appeal Request form.

Thank you,
WellCare Health Plans, Inc.



Attachment 1 : click to download
Attachment 2 : click to download