Provider Information
WellCare of North Carolina (WellCare) provides behavioral health benefits to members enrolled in our Medicaid plan. We are committed to quality service and partnership with providers to ensure members get the most of their benefits.
Authorizations
Some behavioral health services may require prior authorization, including services provided by non-participating providers. Obtaining appropriate authorization is essential to providing needed care.
WellCare uses the following:
- North Carolina Behavioral Health Clinical Coverage Policies
- WellCare Clinical Coverage Guidelines
- American Society of Addiction Medicine, Inc. (ASAM): Assesses level of care determinations for substance-related disorders.
- InterQual
Behavioral Health Resources
Members who are dealing with stress or anxiety can call our 24-Hour Behavioral Health Crisis Line at 1-833-207-4240 to speak with a trained professional.