Become a Provider

Thank you for your interest in participating with WellCare of KY. We are excited that you selected our provider network as your network of choice and look forward to assessing your Network Participation Request.

Contract Request Form

If you are a non-contracted provider, please submit a request to join our network

Join Our Network

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Contracted Providers

Update your demographic information (address, email, telephone number, etc.)
Add practitioners to your participating location.
Add a new location.
Add facilities to your existing participating contract. This includes Ancillary, Behavioral Health and Hospital providers. Please visit Facility Credentialing to review the needed steps and required document(s)/application(s) to ensure timely processing.
Roster of 15 or more practitioners. Utilize the roster form (LOAP/Practitioner Roster Form - Medical and Behavioral) to submit: 1. Demographic updates for 15 or more providers 2. Add practitioners to your participating location 3. Add new locations.