Provider Information
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 of North Carolina Clinical Coverage Guidelines
- American Society of Addiction Medicine, Inc. (ASAM): Assesses level of care determinations for substance-related disorders.
- InterQual
Behavioral Health Rates Schedules
Authorization Resources
Trauma Treatment Services for Children and Families
Contact Us
Providers interested in contracting with WellCare of North Carolina:
Email: ProsProvNC@Wellcare.com
Fax: 1-855-599-3814
Phone: 1-813-865-6503
For any Provider related issues:
Email: NCProviderRelations@Wellcare.com
Phone: 1-984-867-8637
Fax: 1-813-283-3045