Medicaid
Overview & Resources
Thank you for your interest in our Medicaid plans. WellCare of Kentucky understands that maintaining a healthy community starts with providing care to those who need it most. As a company that provides managed care services targeted to government-sponsored health care programs, our primary mission is to enhance our members' health and quality of life, and to partner with our government customers and providers to develop and deliver quality, cost-effective health care.
Important Documents
- Provider Manual (PDF)
- Quick Reference Guide (PDF)
- Provider Resource Guide (PDF)
- Provider Self-Service Quick Reference Guide (PDF)
- External Independent Review Notice (PDF)
- External Independent Review (EIR) Req. Form (PDF)
- EPSDT Provider Toolkit (PDF)
- EPSDT Resource Packet (PDF)
- Ky Medicaid Physician Administered Drug List (PDF)
- Provider Prior Authorization List (PDF)
- Provider Prior Authorization List - Effective: 1/1/25 (PDF)
- Adding New Providers to Existing Contract (PDF)
- Update Provider Demographics/Other Updates (PDF)
- #1 Reason Providers Can’t Be Loaded (PDF)
- Social Determinants of Health (SDOH) (PDF)
- METS: Members Empowered to Suceed Flyer (PDF)
- Diabetes Education and Resource Flyer (PDF)
- Member Community Connections Flyer (PDF)
- Improving Pediatric Oral Health (PDF)
The Kentucky Information Exchange (KHIE) allows providers to access, locate and share patient health information with other providers at the point of care using a secure, electronic network. Learn more about KHIE.
Join Our Network
"My staff and I love WellCare! We appreciate the high level of customer service extended to our staff and patients. Their concern and commitment to quality patient care is evident. Their comprehensive disease management program ensures patients receive a level of care they need to have a full and prosperous life. WellCare supports local philanthropic events and are avid preventive care advocates. WellCare members can be confident they're in good hands."
- Richard Allen Le, M.D.
If you are ready to join Dr. Le, and the more than 69,000 providers nationwide who already partner with WellCare, please send us your information by completing our online form.
Please allow time for us to evaluate your request. We will contact you as soon as possible.
Vision, Dental or Hearing Providers
Get information about becoming a WellCare vision, dental or hearing provider.
WellCare Medicare and Medicaid Behavioral Health Admissions
Effective March 1, 2023, WellCare Medicare and Medicaid behavioral health enrollees ages 21 through 64 can now be admitted at Universal Health Services (UHS) hospitals, which include Cumberland Hall, Lincoln Trail Behavioral Health System, Ridge Behavioral Health, Rivendell Behavioral Health Services, The Brook DuPont, and the Brook Hospital KMI.
If you have any questions, please outreach to your WellCare Provider Relations Representative.