Recursos para proveedores

Musculoskeletal Care Management and Interventional Pain Management Programs

WellCare of North Carolina by Celtic Insurance Company (WellCare) has partnered with Evolent (formerly National Imaging Associates, Inc.) to implement new Musculoskeletal Care ‘MSK’ Management and Interventional Pain Management ‘IPM” Programs. This program is intended to help providers easily and effectively deliver quality patient care.

Learn more about MSK and IPM Services

WellCare brinda las herramientas y apoyo que usted necesita para dar atención de la mejor calidad.

Materiales de referencia

CMS Interoperability & Prior Authorization Final Rule: CY2025 Prior Authorization Requirements Reports and Metrics Summaries

In accordance with the Centers for Medicare & Medicaid Services (CMS) Final Rule (CMS 0057 F), we are annually publishing our prior authorization requirements and performance metrics to promote transparency, accountability, and better support our members and providers.

Reports:

The data presented in these publications reflects prior authorization requests processed during the applicable measurement year in accordance with CMS reporting specifications. Metrics are calculated using CMS defined methodologies and may not be directly comparable to alternative reports or third party summaries.