Medicare Provider Resources
Wellcare By Allwell
As a valued Allwell provider, we want to share some exciting changes to our Medicare plans. We’ve combined multiple brands under the Wellcare name to offer a better range of plans that provide members with affordable access to doctors, nurses and specialists.
Medicare Provider Service
Providers can send us their questions related to Wellcare By Allwell (Medicare Advantage) through the secure portal messaging function or by using this form.
Provider Forms
- Inpatient Authorization Form (PDF)
- Outpatient Authorization Form (PDF)
- Electroconvulsive Therapy (ECT) Authorization Request Form (PDF)
- Inpatient Neuropsychological Testing Authorization Request Form (PDF)
- Outpatient Psychological Testing Authorization Request Form (PDF)
- Outpatient Treatment Request Form (PDF)
- SSBCI Attestations for Chronically Ill Members
- Non-Par Provider Appeal Form (PDF)
- Par Provider Payment Reconsideration Form (PDF)
Other Resources
- Clinical & Payment Policies
- QMB Balance Billing FAQs - information about balance billing qualified medicare beneficiaries
- Sunflower Member ID Card Reference Sheet (PDF)
- Medicare Part B Drug List (PDF) - Effective Jan. 1, 2023
Training Resources
Orientation Resources
- Wellcare By Allwell Orientation Presentation
- Wellcare By Allwell Booklet Provider Guide (PDF)
- Wellcare By Allwell Payspan (Electronic Funds Transfer) (PDF)
- Wellcare By Allwell Prior Authorization Guide (PDF)
- Wellcare By Allwell Risk Adjustment Tips (PDF)
- Wellcare By Allwell Secure Provider Portal (PDF)
- Wellcare By Allwell Quick Reference Guide (PDF)
- Wellcare By Allwell Claim Reconsideration and Dispute Reference Guide (PDF)
Sign Up for Email Alerts
Sunflower Health Plan sends out regular news and bulletins. Click the "Get Alerts" button below to sign up to receive our news via email.
Medicare Provider News
Show