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Behavioral Health

The WellCare Behavioral Health team is committed to quality service and partnership with our providers to improve our members' health and well-being.

Crisis Intervention

In the event of a crisis, members should contact our Behavioral Health Crisis Hotline: 1-855-661-6973.

Authorizations

WellCare uses Interqual™ criteria, a well-known and nationally accepted guideline for assessing level of care criteria. Obtaining appropriate authorizations are essential in providing needed care.

Behavioral Health Code Changes (PDF)

Partnerships in Care (PiC) Program

Our Partnerships in Care (PiC) program uses data analytics and clinical reviews to enhance our partnership with you as the provider to maximize treatment successes. This approach is based on our philosophy that quality member care is achieved through purposeful collaboration with providers that serve our members receiving a multitude of behavioral health services.

If you are identified as a provider that could benefit from participation in the Partnerships in Care program through a data analysis, we will review members’ clinical documentation then collaborate with you to highlight areas of strengths and opportunities.

Provider Resources

Helpful Information

Clinical Practice Guidelines (CPGs) are best-practice recommendations based on available clinical outcome and scientific evidence.

We provide ongoing treatment for behavioral health concerns that are critical in improving member’s health and well-being. WellCare offers Case and Disease Management programs developed to address depression and substance abuse, as well as other behavioral health conditions.