Effective July 1, 2013, WellCare no longer offers Medicaid services in Ohio.
WellCare of Ohio members had access to covered benefits through June 30, 2013, or through their disenrollment date, if earlier.
Providers should continue to bill for covered services rendered for eligible dates of service. Claims will be accepted through June 30, 2014.
The discontinuation of Medicaid services in Ohio does not affect WellCare Medicare Advantage HMO (coordinated care) or prescription drug plan (PDP) members in Ohio. If you provide services to our Medicare Advantage members, please visit and bookmark our Medicare website, where you will find pertinent forms and self-service tools to continue serving those members.
The Administrative Simplification Provision of the Health Insurance Portability and Accountability Act (HIPAA) requires standards for electronic transactions, such as claims (including pharmacy), remittance, eligibility and claims status. The current versions of these standards, X12 Version 4010/4010A1 and NCPDP Version 5.1 will be replaced with Version 5010 and Version D.0, respectively. The federally mandated compliance date is January 1st, 2012, but in alignment with CMS’ grace period on enforcement action, WellCare will allow both 4010 and 5010 transactions to be submitted until June 30th, 2012. Click here for more information.
Easy Access to Important Information
Click on the Resources tab above to access the wealth of information this website has available for our physician and provider partners or use the other tabs to access useful resources like claims, authorizations and eligibility information from the secure provider-only portion of this site.
As part of WellCare of Ohio's network of providers, you can take advantage of a variety of services available on this site to manage your WellCare online account. Your user name and password are required to access our secure provider only portal.
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