Update: New PCP Member Move Process Effective October 1, 2025
Effective October 1, 2025, all provider requests to assign members into or out of practice must be submitted via spreadsheet directly to the shared inbox NCProviderRelations@WellCare.com. The spreadsheet is the preferred method for WellCare member PCP Assignment Changes.
What’s Changing:
- All AMH/PCP assignment requests must be submitted using the designated spreadsheet.
- The spreadsheet must be fully completed, including the required attestation section. By adding a member to the spreadsheet, the provider is attesting that a verbal conversation occurred with the member
- Incomplete submissions will be returned and not processed
- PCP assignments are made at the practice or group level, not by individual provider.
Submitting Requests to Assign Members INTO Your Practice:
- Use the provided spreadsheet for multiple member requests.
- All required fields must be completed. Include the reason for assignment (e.g., date of last visit).
- Complete the attestation to confirm that your practice has been communicated with each member listed.
Submitting Requests to Assign Members OUT OF Your Practice:
Use the same spreadsheet to request removal of members who:
- Have been discharged (must attach a discharge letter).
- Have moved care to another PCP (include Transfer of Care documentation or record of patient conversation in patient chart).
- Have moved out of service area (including the members’ new address if available).
Key Notes:
- All AMH/PCP assignment requests are submitted to NCFAST for confirmation.
- PCP Changes related to members “never seen” or “could not contact” are not valid reassignment reasons.
- Once approved, the member will receive a new ID card, and the provider will be notified by email.
- Effective Dates:
- Requests received on or before the 20th of the month will be effective on the 1st of the following month.
- Requests received after the 20th will be effective from the 1st of the second following month.
Per State contract, Medicaid members can change their PCP up to two times per year, including one change within 30 days of AMH assignment and one “without cause.”
Need Assistance?
Complete the spreadsheet fully and submit along with any supporting documentation to: NCProviderRelations@WellCare.com.