You, your friend, a relative, legal counsel or other spokesperson who has your written consent may ask for a State Fair Hearing. With the completion of this transaction, we have created a premier healthcare enterprise focused on government-sponsored healthcare programs. You can ask in writing for a State Fair Hearing (hearing, for short). The hearing officer will decide whether our decision was right or wrong. Timely Filing Limits for all Insurances updated (2023) - Bcbsproviderphonenumber Timely Filing Limits for all Insurances updated (2023) One of the common and popular denials is passed the timely filing limit. From Date Institutional Statement Dates on or after 4/1/2021 should be filed to Absolute Total Care. Timely filing is when you file a claim within a payer-determined time limit. Forms. Pharmacy services prior to April 1, 2021 must be requested from WellCare of South Carolina. Copyright 2023 WellCare Health Plans, Inc. WellCare Non-Emergency Medical Transportation (NEMT) Update, Provider Self-Service Quick Reference Guide (PDF), Provider Masters Level Proposed Rates (PDF), Member Advisory Committee (MAC) Member Flyer (PDF), Member Advisory Committee (MAC) - LTSS Member Flyer (PDF), Managed Care PHP Member PCP Change Request Form (PDF), Provider Referral Form: LTSS Request for PCS Assessment (PDF). All billing requirements must be adher ed to by the provider in order to ensure timely processing of claims. We expect this process to be seamless for our valued members and there will be no break in their coverage. We try to make filing claims with us as easy as possible. Earliest From Dates prior to April 1, 2021 should be filed to WellCare of South Carolina. WellCare Medicaid members migrating to Absolute Total Care will be assigned to their assigned WellCare Primary Care Physician (PCP) as if the PCP is in network with Absolute Total Care. BlueCross BlueShield of South Carolina Piedmont Service Center P.O. You will get a letter from us when any of these actions occur. Box 100605 Columbia, SC 29260. The onlineProvider Manual represents the most up-to-date information on Absolute Total Cares Medicaid Plan, programs, policies, and procedures. Absolute Total Care will honor those authorizations. This gives members time to establish with a new provider in the network and ensure that they have continuity of care. 2023 Medicare and PDP Compare Plans and Enroll Now. Claims for services prior to April 1, 2021 should be filed to WellCare for processing. As of April 1, 2021, WellCare will no longer be a separate plan option offered by South Carolina Healthy Connections Choices. WellCare Medicare members are not affected by this change. Where should I submit claims for WellCare Medicaid members? Synagis (RSV) - Medical Benefit or Retail Pharmacy, 17P or Makena - Medical Benefit or Retail Pharmacy, Special Supplemental Benefits for Chronically Ill (SSBCI), Screening, Brief Intervention, and Referral to Treatment (SBIRT), Patient Centered Medical Home Model (PCMH), Healthcare Effectiveness Data and Information Set (HEDIS), Consumer Assessment of Healthcare Providers and Systems (CAHPS), National Committee for Quality Assurance (NCQA), Hurricane Florence: What You Need to Know, Absolute Total Care Payment Policy and Edit Updates Effective 5/1/21, Notice About a New Payment Integrity Audit Program, Absolute Total Care Updated Guidance for Medicaid BabyNet Therapy Providers, Wellcare By Allwell Changing Peer-to-Peer Review Request and Elective Inpatient Prior Authorization Requirements for Medicare Advantage Plans, NEW Attestation Process for Special Supplemental Benefits for Chronically Ill (SSBCI), Medicare Prior Authorization Change Summary - Effective 1/1/2023. Keep yourself informed about Coronavirus (COVID-19.) A. 2) Reconsideration or Claim disputes/Appeals. Beginning, March 14 March 31, 2021, please send to WellCare, April 1 April 3, 2021, please send to Absolute Total Care, DOS prior to 4/1/2021- Processed by WellCare, DOS 4/1/2021 and after- Processed by Absolute Total Care, Date of Occurrence/DOS prior to 4/1/2021- Processed by WellCare, Date of Occurrence/DOS 4/1/2021 and after- Processed by Absolute Total Care. Obstetrician care provided by an out of network Obstetrician will be covered for pregnant members inclusive of post-partum care. The provider needs to contact Absolute Total Care to arrange continuing care. A. Guides Filing Claims with WellCare. How do I determine if an institutional inpatient bill type submission overlapping 4/1/2021 should be filed to WellCare or Absolute Total Care? Additionally, WellCare will have a migration section on their provider page at publishing FAQs. %PDF-1.6 % Authorizations already processed by WellCare for any services on or after April 1, 2021, will be moved to Absolute Total Care and there is no need for the provider or member to request these services again. When can providers begin requesting prior authorization from Absolute Total Care for WellCare Medicaid members for dates of service on or after April 1, 2021? With the completion of this transaction, we have created a premier healthcare enterprise focused on government-sponsored healthcare programs. What will happen to my Participating Provider Agreement with WellCare after 4/1/2021? Paper Claim Submission Submit paper claims to: WellCare Health Plans Electronic Claim Submission To initiate electronic claims, both in-network and out-of-network providers should contact their practice management software vendor or EDI software vendor. Members will need to talk to their provider right away if they want to keep seeing him/her. Here you will find the tools and resources you need to help manage your submission of claims and receipt of payments. You must file your appeal within 60 calendar days from the date on the NABD. Providers will continue to work directly with WellCare to address any claims for dates of service prior to the membership transfer of April 1, 2021. Members can continue to receive services from their current WellCare provider as long as they remain covered under WellCare. Providers will continue to follow WellCares Medicaid policies and procedures for services provided to WellCare Medicaid members for dates of service prior to April 1, 2021. Explains how to receive, load and send 834 EDI files for member information. Claims submission, correspondence, and contact resources will stay the same for the Medicare line of business. Box 3050 To continue care with their current provider after the 90-day transition of care, the provider must agree to work with Absolute Total Care on the member's care and accept Absolute Total Care's payment rates. Go365 for Humana Healthy Horizons Members can register for the new Go365 for Humana Healthy Horizons wellness program and earn rewards for participating in healthy activities. Reminder: It is important that providers check eligibility prior to providing services as members can potentially change plans prior to April 1, 2021 if they are in the annual choice period. Providers will follow Absolute Total Care Medicaid policies and procedures for all services, inclusive of medical, behavioral, and pharmaceutical benefits, provided to WellCare Medicaid members transitioning to Absolute Total Care for dates of service on or after April 1, 2021. You or your provider must call or fax us to ask for a fast appeal. We will also send you a letter with our decision within 72 hours from receiving your appeal. Select Health Claims must be filed within 12 months from the date of service. Claim Filing AmeriHealth Caritas North Carolina, hereafter referred to as the Plan (where appropriate), is required by the North Carolina and federal regulations to capture specific data regarding services rendered to its members. Q. You or your authorized representative will tell the hearing officer why you think we made the wrong decision. You must ask within 30 calendar days of getting our decision. For dates of service prior to April 1, 2021: All paper claim submissions can be mailed to: WellCare Health Plans You or your authorized representative can review the information we used to make our decision. Please use the From Date Institutional Statement Date. As of April 1, 2021, all WellCare of South Carolina Medicaid members will become Absolute Total Care members. Welcome to WellCare of South Carolina! Welcome to WellCare Provider Login Contact Us Join Our Network Medicaid Medicare Tools News and Education AcariaHealth Specialty Pharmacy Pharmacy Forms Request for Drug Coverage Request to Review Drug Coverage Denial . WellCare understands that having access to the right tools can help you and your staff streamline day-to-day administrative tasks. You may do this in writing or in person. Q. Please note - a representative may file for a member who: If the members request for appeal is submitted after 60 calendar days from the date on the NABD, then good cause must be shown in order for WellCare to accept the late request. Explains rules and state, line of business and CMS-specific regulations regarding 837P EDI transactions. P.O. This manual sets forth the policies and procedures that providers participating in the Absolute Total Carenetwork are required tofollow. Please make sure you ask your members for a copy of their Absolute Total Care and Healthy Connections Choices Medicaid ID cards before each visit. All dates of service on or after April 1, 2021 should be filed to Absolute Total Care. Box 31224 Division of Appeals and Hearings To continue care with their current provider after the 90-day Transition of Care, the provider must agree to work with Absolute Total Care on the member's care and accept Absolute Total Care's payment rates. Member Sign-In. Wellcare uses cookies. Additionally, WellCare will have a migration section on their provider page at publishing FAQs. Coronavirus Disease 2019 (COVID-19) causes respiratory illness in people and can spread from person to person. We are proud to announce that WellCare is now part of the Centene Family. Contact Wellcare Prime Provider Service at1-855-735-4398if youhave questions. You can get many of your Coronavirus-related questions answered here. Outpatient Prior Authorization Form (PDF) Inpatient Prior Authorization Form (PDF) WellCare of North Carolina partners with providers to develop and deliver high-quality, cost-effective health care solutions. WellCare Medicaid members migrating to Absolute Total Care will be assigned to their assigned WellCare primary care provider as if the primary care provideris in network with Absolute Total Care. The member will be encouraged to establish care with a new in network PCP/specialist prior to the end of the transition/continuity of care period to review present treatment plan and coordinate the member's medical care. Forgot Your Password? With the completion of this transaction, we have created a premier healthcare enterprise focused on government-sponsored healthcare programs. If you request a hearing, the request must: A State Fair Hearing is a legal proceeding. Earliest From Dates prior to 4/1/2021 should be filed to WellCare of South Carolina. Register now at https://www.payspanhealth.com or contact PaySpan at providersupport@payspanhealth.com, or 877-331-7154. Explains rules and state, line of business and CMS-specific regulations regarding 837P EDI transactions. PROVIDER REMINDER: It is important that providers check eligibility prior to providing services as members can potentially change plans prior to 4/1/2021 if they are in the annual choice period. Pregnant members receiving care from an out of network Obstetrician can continue to see their current Obstetrician until after the baby is born. The Medicare portion of the agreement will continue to function in its entirety as applicable. If an authorization is needed, you can log in to the Secure Provider Portal at absolutetotalcare.com to submit and confirm authorizations. Providers interested in joining the Absolute Total Care Provider Network should submit a request to Network Development and Contracting via email at. Absolute Total Care will continue to offer Marketplace products under the Ambetter brand. Absolute Total Care will honor all existing WellCare authorization approvals that include dates of service beyond March 31, 2021. Box 6000 Greenville, SC 29606. These grievances may be about: The state of South Carolina allows members to file a grievance at anytime from the event that caused the dissatisfaction. Download the free version of Adobe Reader. Will my existing WellCare patients be assigned to my Absolute Total Care Panel? Please make sure you ask your members for a copy of their Absolute Total Care and Healthy Connections Choices Medicaid ID cards before each visit. As a member you may request a 14 day extension of your grievance, you may do so by calling Member Services at 1-888-588-9842 (TTY 1-877-247-6272) or You may send your request for extension in writing to: WellCare Health Plans WellCare of South Carolina will be known as Absolute Total Care as of April 1, 2021. We will call you with our decision if we decide you need a fast appeal. In South Carolina, WellCare and Absolute Total Care are joining to better serve you. You do not appeal within 10 calendar days from when the Plan mails an adverse Notice of Action, or you do not request a hearing within 10 calendar days from when the Plan mails an adverse Notice of Appeals Resolution whichever is later. For example, if any patient gets services on the 1st of any month then there is a time limit to submit his/her claim to the insurance company for reimbursement. Professional and Institutional Fee-For-Service EDI transactions should be submitted to WellCare of South Carolina Medicaid with Payer ID 14163. Thanka kaa yoa Tufrbeau ingsnh ngetfu South Caralaita nouMa mpvd. To do so by phone, call Member Services at 1-888-588-9842 (TTY1-877-247-6272). More Information Coronavirus (COVID-19) You can file a grievance by calling or writing to us. A. Explains how to receive, load and send 834 EDI files for member information. Claims will be processed according to timely filing provisions in the providers WellCare Participating Provider Agreement. We must have your written permission before someone can file a grievance for you. A. Register now at https://www.payspanhealth.comor contact PaySpan at providersupport@payspanhealth.com, or 877-331-7154. Synagis (RSV) - Medical Benefit or Retail Pharmacy, 17P or Makena - Medical Benefit or Retail Pharmacy, Special Supplemental Benefits for Chronically Ill (SSBCI), Screening, Brief Intervention, and Referral to Treatment (SBIRT), Patient Centered Medical Home Model (PCMH), Healthcare Effectiveness Data and Information Set (HEDIS), Consumer Assessment of Healthcare Providers and Systems (CAHPS), National Committee for Quality Assurance (NCQA), Hurricane Florence: What You Need to Know, Absolute Total Care Payment Policy and Edit Updates Effective 5/1/21, Notice About a New Payment Integrity Audit Program, Absolute Total Care Updated Guidance for Medicaid BabyNet Therapy Providers, Wellcare By Allwell Changing Peer-to-Peer Review Request and Elective Inpatient Prior Authorization Requirements for Medicare Advantage Plans, NEW Attestation Process for Special Supplemental Benefits for Chronically Ill (SSBCI), Medicare Prior Authorization Change Summary - Effective 1/1/2023. Providers can begin requesting prior authorization for pharmacy services from Absolute Total Care for dates of service on or after April 1, 2021 from Absolute Total Care on April 1, 2021. A. As of April 1, 2021, WellCare will no longer be a separate plan option offered by South Carolina Healthy Connections Choices. If Statement Range is March 14, 2021 through April 3, 2021, please send to WellCare. Obstetrician care provided by an out-of-network obstetrician will be covered for pregnant members inclusive of postpartum care. Payments mailed to providers are subject to USPS mailing timeframes. A. Search for primary care providers, hospitals, pharmacies, and more! Q. You can do this at any time during your appeal. We are proud to announce that WellCare is now part of the Centene Family. Prior authorizations issued by WellCare for dates of service on or after 4/1/2021 will transfer with the members eligibility to Absolute Total Care. %%EOF Pregnant members receiving care from an out-of-network Obstetrician can continue to see their current obstetrician until after the baby is born. We are committed to improving the quality of life of our millions of members, who often include some of our nations most vulnerable populations. South Carolina DEPARTMENT OF HEALTH AND HUMAN SERVICES Post Office Box 8206 Columbia, South Carolina 29202-8206 www.scdhhs.gov November 24, 2009 ALL . Ambetter from Absolute Total Care - South Carolina. P.O. P.O. Hearings are used when you were denied a service or only part of the service was approved. #~0 I Providers can begin requesting prior authorization for pharmacy services from Absolute Total Care for dates of service on or after 4/1/2021 from Absolute Total Care on April 1, 2021. Stay informed - activate your online account Behavioral Health Crisis Line 844-594-5076 (TTY 711) 24 hours a day, seven days a week Call us if you are experiencing emotional or mental pain or distress. Addakam ditoy para kenka. Q. We welcome Brokers who share our commitment to compliance and member satisfaction. From Date Institutional Statement Dates prior to 4/1/2021 should be filed to WellCare of South Carolina. P.O. They are called: State law allows you to make a grievance if you have any problems with us. Payments mailed to providers are subject to USPS mailing timeframes. With the completion of this transaction, we have created a premier healthcare enterprise focused on government-sponsored healthcare programs. An authorized representative is someone you select to act on the behalf of a member to assist them through the appeals process. Learn how you can help keep yourself and others healthy. Ambetter Timely Filing Limit of : 1) Initial Claims. An appeal may be filed within 60 calendar days from the date on the Adverse Benefit Determination Notice. Absolute Total Care We understand that maintaining a healthy community starts with providing care to those who need it most. It is 30 days to 1 year and more and depends on . This gives members time to establish with a new provider in the network and ensure that they have continuity of care. 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. The annual flu vaccine helps prevent the flu. Within five business days of getting your grievance, we will mail you a letter. APPEALS, GRIEVANCES AND PROVIDER DISPUTES. The rules include what we must do when we get a grievance. pst/!+ Y^Ynwb7tw,eI^ No, Absolute Total Care will continue to operate under the Absolute Total Care name. A provider can act for a member in hearings with the member's written permission in advance. Always verify timely filing requirements with the third party payor. This must be done within 120 days from the date of Notice of Appeal Resolution you received from us. UnitedHealthcare Dual Complete Special Needs Plan UnitedHealthcare Dual Complete Special Needs Plans (SNP) offer benefits for people with both Medicare and Medicaid. All transitioning Medicaid members will receive a welcome packet and new ID card from Absolute Total Care in March 2021 and will use the Absolute Total Care ID card to get prescriptions and access health care services starting April 1, 2021. Q. How are WellCare Medicaid member authorizations being handled after April 1, 2021? hYnH~}9'I`@>cLq,&DYH"W~&eJx'"luWU]JDBFRJ!*SN(s'6# ^*dg4$SB7K4z:r6')baka+Raf4J=)l, _/jaSpao69&&_Ln=?/{:,'z .1J0|~jv4[eUN{:-gl! K'&hng?y},&X/|OzcJ@0PhDiO})9RA9tG%=|rBhHBz7 For additional information, questions or concerns, please contact your local Provider Network Management Representative. Those who attend the hearing include: You can also request to have your hearing over the phone. Get an annual flu shot today. WellCare of South Carolina will be known as Absolute Total Care as of April 1, 2021. L]4(f4/pn~YTZSp-5/O*F)e~p:a6o{x8r It will tell you we received your grievance. A. Utilize interactive health and wellness tools to help you manage conditions, improve your health and save money. Copyright 2023 Wellcare Health Plans, Inc. Clinical Laboratory Improvement Amendments (CLIA). Examples of good cause include, but are not limited to, the following: We will send you a letter within five business days of getting your appeal. Wellcare wants to ensure that claims are handled as efficiently as possible. Reconsideration or Claim Disputes/Appeals: A grievance is when you tell us about a concern you have with our plan. Provider can't require members to appoint them as a condition of getting services. The materials located on our website are for dates of service prior to April 1, 2021. Explains rules and state, line of business and CMS-specific regulations regarding 837I EDI transactions. An appeal is a request you can make when you do not agree with a decision we made about your care. From time to time, Wellcare Health Plans reviews its reimbursement policies to maintain close alignment with industry standards and coding updates released by health care industry sources like the Centers for Medicare and Medicaid Services (CMS), and nationally recognized health and medical societies. PROVIDERS NOTE:Please send Corrected Claims as normal submissions via electronic or paper. WellCare claims will be processed according to timely filing provisions in the providers WellCare Participating Provider Agreement. Box 600601 Columbia, SC 29260. A. 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. Member Appeals (Medical, Behavioral Health, and Pharmacy): You will need Adobe Reader to open PDFs on this site. We will do this as quickly as possible as but no longer than 72-hours from the decision. No, Absolute Total Care will continue to operate under the Absolute Total Care name. We comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, sex, or disability. Please see list of services that will require authorization during this time. Wellcare uses cookies. S< Visit https://msp.scdhhs.gov/appeals/ to: Copyright 2023 Wellcare Health Plans, Inc. https://msp.scdhhs.gov/appeals/site-page/file-appeal, If we deny or limit a service you or your doctor asks us to approve, If we reduce, suspend or stop services youve been getting that we already approved, If we do not pay for the health care services you get, If we fail to give services in the required timeframe, If we fail to give you a decision in the required timeframe on an appeal you already filed, If we dont agree to let you see a doctor who is not in our network and you live in a rural area or in an area with limited doctors, If you dont agree with a decision we made regarding your medicine, We denied your request to dispute a financial liability, The member did not personally receive the notice of action or received the notice late, The member was seriously ill, which prevented a timely appeal, There was a death or serious illness in the members immediate family, An accident caused important records to be destroyed, Documentation was difficult to locate within the time limits; and/or the member had incorrect or incomplete information concerning the appeals process, Change the appeal to the timeframe for a standard decision (30 calendar days), Follow up with a written letter within 2 calendar days, Tell you over the phone and in writing that you may file a grievance about the denial of the fast appeal request, Be in writing and specify the reason for the request, Include your name, address and phone number, Indicate the date of service or the type of service denied, Your authorized representative (if youve chosen one), A hearing officer from Medicaid and Long-Term Care (MLTC), You or your authorized representative with your written consent must file your appeal with us and ask to continue your benefits within 10 calendar days after we mail the Notice of Adverse benefit determination; or, Within 10 calendar days of the intended effective date of the plans proposed action, whichever is later, The appeal or hearing must address the reduction, suspension or stopping of a previously authorized service, The services were ordered by an authorized provider, The period covered by the original authorization cannot have ended. The way your providers or others act or treat you. Date of Occurrence/DOSprior toApril 1, 2021: Processed by WellCare. March 14-March 31, 2021, please send to WellCare. P.O. If Statement Range is April 2, 2021 through April 10, 2021, please send to Absolute Total Care. WellCare is the health care plan that puts you in control. You may request a State Fair Hearing at this address: South Carolina Department of Health Contact Us Y0020_WCM_100876E Last Updated On: 10/1/2022 endstream endobj 1045 0 obj <>/Metadata 50 0 R/OpenAction 1046 0 R/Outlines 160 0 R/Pages 1042 0 R/StructTreeRoot 166 0 R/Type/Catalog/ViewerPreferences<>>> endobj 1046 0 obj <> endobj 1047 0 obj <>/Font<>/ProcSet[/PDF/Text/ImageC/ImageB/ImageI]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 1048 0 obj <>stream 837 Institutional Encounter 5010v Guide WellCare of South Carolinawants to ensure that claims are handled as efficiently as possible. DOS April 1, 2021 and after: Processed by Absolute Total Care. Because those authorizations will automatically transfer to Absolute Total Care, it is not necessary to request the authorization again when the member becomes eligible with Absolute Total Care. Timely filing limits vary. If you need claim filing assistance, please contact your provider advocate. Date of Occurrence/DOSApril 1, 2021 and after: Processed by Absolute Total Care. You will need Adobe Reader to open PDFs on this site. ?-}++lz;.0U(_I]:3O'~3-~%-JM Q. As of April 1, 2021 Absolute Total Care, a Centene company, is now the health plan for South Carolina Medicaid members. If you wish to use a representative, then he or she must complete an Appointment of Representative (AOR) statement. UHC Community TFL - Timely filing Limit: 120 Days: Unitedhealthcare TFL - Timely filing Limit: Participating Providers: 90 days Non Participating Providers: 180 Days If its secondary payer: 90 days from date of Primary Explanation of Benefits Unitedhealthcare timely filing limit for appeals: 12 months from original claim determination The current transaction means that WellCare of South Carolina Medicaid members are transitioning to Absolute Total Care and will become Absolute Total Care members, effective April 1, 2021. All dates of service prior to April 1, 2021 should be filed to WellCare of South Carolina. This manual sets forth the policies and procedures that providers participating in the Wellcare Prime network are required tofollow. Professional and Institutional Encounter EDI transactions should be submitted to WellCare of South Carolina Medicaid with Payer ID 59354. R 1/70.3/Determining End Date of Timely Filing Period -- Receipt Date R 1/70.4/Determination of Untimely Filing and Resulting Actions R 1/70.5/Application to Special Claim Types R 1/70.6/Filing Claim Where General Time Limit Has Expired R 1/70.7/Exceptions Allowing Extension of Time Limit R 1/70.7.1/Administrative Error Molina Healthcare of Michigan, 100 W. Big Beaver Road, Suite 600 Attn: Claims, Troy, MI 48084-5209 Or Fax to: (248) 925-1768. Box 8206 Columbia, SC 29202-8206 Or call 1-800-763-9087. If you need assistance with your appeal please call Absolute Total Care at 1-866-433-6041 (TTY: 711) and we will assist you in filing your appeal. Box 3050 Q. Our toll-free fax number is 1-877-297-3112. The current transaction means that WellCare of South Carolina Medicaid members are transitioning to Absolute Total Care and will become Absolute Total Care members, effective April 1, 2021. endstream endobj startxref A. For general questions about claims submissions, call Provider Claims Services at 1-800-575-0418. Our call centers, including the nurse advice line, are currently experiencing high volume. Know the facts about Coronavirus (COVID-19) Our call centers, including the nurse advice line, are currently experiencing high volume. Q. Learn more about how were supporting members and providers. Providers can begin requesting prior authorization from Absolute Total Care for dates of service on or after 4/1/2021 from Absolute Total Care on, Providers can begin requesting prior authorization for pharmacy services from Absolute Total Care for dates of service on or after 4/1/2021 from Absolute Total Care on. Providers interested in joining the Absolute Total Care vision network for routine vision services can contact Envolve Vision at 1-800-531-2818. Incorrect forms will not be considered and may lead to further delays in processing prior authorization requests. Or you can have someone file it for you. Register now. Providers are encouraged to sign up to receive EFT payments to avoid any payment delays. Will Absolute Total Care continue to offer Medicare and Marketplace products? Providers do not need to do anything additional to provide services on or after April 1, 2021 if the provider is in network with both WellCare and Absolute Total Care.