For dates of service on or after 4/1/2021: Professional and Institutional Fee-For-Service/Encounter EDI transactions should be submitted to Absolute Total Care Medicaid with Payer ID <68069> for Emdeon/WebMD/Payerpath or <4272> for Relay Health/McKesson. Please use the Earliest From Date. WellCare of South Carolina will be known as Absolute Total Care as of April 1, 2021. Absolute Total Care will honor those authorizations. To avoid rejections please split the services into two separate claim submissions. Will Absolute Total Care change its name to WellCare? If Medicare is the primary payer, timely filing is determined from the processing date indicated on the primary carrier's explanation of benefit (EOB) If Medicare is the Secondary Payer (MSP), the initial claim must be submitted to the primary payer within Cigna's timely filing period. WellCare of North Carolina partners with providers to develop and deliver high-quality, cost-effective health care solutions. A. We expect this process to be seamless for our valued members and there will be no break in their coverage. It will let you know we received your appeal. WellCare of South Carolina will be known as Absolute Total Care as of April 1, 2021. Yes, Absolute Total Care and WellCare will continue to offer Medicare products under their current brands and product names, until further notice. If Statement Range is March 14, 2021 through April 3, 2021, please send to WellCare. From time to time, WellCare Health Plans reviews its reimbursement policies to maintain close alignment with industry standards and coding updates released by health care industry sources like the Centers for Medicare and Medicaid Services (CMS), and nationally recognized health and medical societies. Because those authorizations will automatically transfer to Absolute Total Care, it is not necessary to request the authorization again when the member becomes eligible with Absolute Total Care. More Information Need help? Where should I submit claims for WellCare Medicaid members? Claim Filing AmeriHealth Caritas North Carolina, hereafter referred to as the Plan (where appropriate), is required by the North Carolina and federal regulations to capture specific data regarding services rendered to its members. All dates of service on or after April 1, 2021 should be filed to Absolute Total Care. Learn how you can help keep yourself and others healthy. For general questions about claims submissions, call Provider Claims Services at 1-800-575-0418. Providers interested in joining the Absolute Total Care vision network for routine vision services can contact Envolve Vision at 1-800-531-2818. Q. All transitioning Medicaid members will receive a welcome packet and new ID card from Absolute Total Care in March 2021 and will use the Absolute Total Care ID card to get prescriptions and access health care services starting April 1, 2021. Here you will find the tools and resources you need to help manage your submission of claims and receipt of payments. WellCare Medicaid members migrating to Absolute Total Care will be assigned to their assigned WellCare Primary Care Physician (PCP) as if the PCP is in network with Absolute Total Care. You will have a limited time to submit additional information for a fast appeal. In South Carolina, WellCare and Absolute Total Care are joining to better serve you. You can make three types of grievances. Providers will follow Absolute Total Care Medicaid policies and procedures for all services, inclusive of medical, behavioral, and pharmaceutical benefits, provided to WellCare Medicaid members transitioning to Absolute Total Care for dates of service on or after April 1, 2021. The Medicare portion of the agreement will continue to function in its entirety as applicable. P.O. Members who are dealing with stress or anxiety can call our 24-Hour Behavioral Health Crisis Line at 1-833-207-4240 to speak with a trained professional. Beginning, March 14 March 31, 2021, please send to WellCare, April 1 April 3, 2021, please send to Absolute Total Care, DOS prior to 4/1/2021- Processed by WellCare, DOS 4/1/2021 and after- Processed by Absolute Total Care, Date of Occurrence/DOS prior to 4/1/2021- Processed by WellCare, Date of Occurrence/DOS 4/1/2021 and after- Processed by Absolute Total Care. The provider needs to contact Absolute Total Care to arrange continuing care. Ancillary Claims Filing Reminders; ClaimsXten TM: Correct Coding Initiative Reference Guide; Inpatient Non-Reimbursable Charges/Unbundling Policy UnitedHealthcare Dual Complete Special Needs Plan UnitedHealthcare Dual Complete Special Needs Plans (SNP) offer benefits for people with both Medicare and Medicaid. Wellcare uses cookies. WellCare Medicare members are not affected by this change. Providers can begin requesting prior authorization from Absolute Total Care for dates of service on or after April 1, 2021 from Absolute Total Care on March 15, 2021. Q. 1071 0 obj <>/Filter/FlateDecode/ID[<87133B316ADA4BDD8B85BA48A489D34F>]/Index[1044 53]/Info 1043 0 R/Length 117/Prev 692690/Root 1045 0 R/Size 1097/Type/XRef/W[1 2 1]>>stream The second level review will follow the same process and procedure outlined for the initial review. Payments mailed to providers are subject to USPS mailing timeframes. Will WellCare continue to offer current products or Medicare only? Kasapulam ti tulong? Awagandakami APPEALS, GRIEVANCES AND PROVIDER DISPUTES. You can do this at any time during your appeal. Members can continue to receive services from their current WellCare provider as long as they remain covered under WellCare. Need an account? For the death or injury of a member of the South Carolina National Guard, as provided for in Section 42-7-67, the time for filing a claim is two years after the accident or one year after the federal claim is finalized, whichever is later. Explains rules and state, line of business and CMS-specific regulations regarding 837P EDI transactions. Absolute Total Care will continue to offer Marketplace products under the Ambetter brand. Or you can have someone file it for you. Within five business days of getting your grievance, we will mail you a letter. DOSApril 1, 2021 and after: Processed by Absolute Total Care. WellCare of South Carolina will be known as Absolute Total Care as of April 1, 2021. Beginning. You now have access to a secure, quick way to electronically settle claims. An appeal is a request you can make when you do not agree with a decision we made about your care. Box 8206 Columbia, SC 29202-8206 Or call 1-800-763-9087. hYnH~}9'I`@>cLq,&DYH"W~&eJx'"luWU]JDBFRJ!*SN(s'6# ^*dg4$SB7K4z:r6')baka+Raf4J=)l, _/jaSpao69&&_Ln=?/{:,'z .1J0|~jv4[eUN{:-gl! K'&hng?y},&X/|OzcJ@0PhDiO})9RA9tG%=|rBhHBz7 Explains rules and state, line of business and CMS-specific regulations regarding 837I EDI transactions. Timely filing is when you file a claim within a payer-determined time limit. Claim Filing Manual - First Choice by Select Health of South Carolina Living Well Quality of Care Medicaid Managed Care Medicaid and CHIP Quality Resource Library Improvement Initiatives Performance Measurement Releases & Announcements Enrollment Strategies Continuous Eligibility Express Lane Eligibility Lawfully Residing Immigrant Children & Pregnant Women Presumptive Eligibility Home & Community Based Services Please note - a representative may file for a member who: If the members request for appeal is submitted after 60 calendar days from the date on the NABD, then good cause must be shown in order for WellCare to accept the late request. If you think you might have been exposed, contact a doctor immediately. Visit https://msp.scdhhs.gov/appeals/ to: Copyright 2023 Wellcare Health Plans, Inc. https://msp.scdhhs.gov/appeals/site-page/file-appeal, If we deny or limit a service you or your doctor asks us to approve, If we reduce, suspend or stop services youve been getting that we already approved, If we do not pay for the health care services you get, If we fail to give services in the required timeframe, If we fail to give you a decision in the required timeframe on an appeal you already filed, If we dont agree to let you see a doctor who is not in our network and you live in a rural area or in an area with limited doctors, If you dont agree with a decision we made regarding your medicine, We denied your request to dispute a financial liability, The member did not personally receive the notice of action or received the notice late, The member was seriously ill, which prevented a timely appeal, There was a death or serious illness in the members immediate family, An accident caused important records to be destroyed, Documentation was difficult to locate within the time limits; and/or the member had incorrect or incomplete information concerning the appeals process, Change the appeal to the timeframe for a standard decision (30 calendar days), Follow up with a written letter within 2 calendar days, Tell you over the phone and in writing that you may file a grievance about the denial of the fast appeal request, Be in writing and specify the reason for the request, Include your name, address and phone number, Indicate the date of service or the type of service denied, Your authorized representative (if youve chosen one), A hearing officer from Medicaid and Long-Term Care (MLTC), You or your authorized representative with your written consent must file your appeal with us and ask to continue your benefits within 10 calendar days after we mail the Notice of Adverse benefit determination; or, Within 10 calendar days of the intended effective date of the plans proposed action, whichever is later, The appeal or hearing must address the reduction, suspension or stopping of a previously authorized service, The services were ordered by an authorized provider, The period covered by the original authorization cannot have ended. Providers will continue to work directly with WellCare to address any claims for dates of service prior to the membership transfer of April 1, 2021. All dates of service on or after 4/1/2021 should be filed to Absolute Total Care. Go365 for Humana Healthy Horizons Members can register for the new Go365 for Humana Healthy Horizons wellness program and earn rewards for participating in healthy activities. Here are some guides we created to help you with claims filing. Additionally, WellCare will have a migration section on their provider page at publishing FAQs. Please make sure you ask your members for a copy of their Absolute Total Care and Healthy Connections Choices Medicaid ID cards before each visit. We are glad you joined our family! South Carolina DEPARTMENT OF HEALTH AND HUMAN SERVICES Post Office Box 8206 Columbia, South Carolina 29202-8206 www.scdhhs.gov November 24, 2009 ALL . A. Farmington, MO 63640-3821. Copyright 2023 Wellcare Health Plans, Inc. How do I determine if an institutional inpatient bill type submission overlapping 4/1/2021 should be filed to WellCare or Absolute Total Care? How will credentialing/recredentialing be handled by Absolute Total Care if a provider was recently credentialed/recredentialed by WellCare? PROVIDERS NOTE:Please send Corrected Claims as normal submissions via electronic or paper. This gives members time to establish with a new provider in the network and ensure that they have continuity of care. 2023 Medicare and PDP Compare Plans and Enroll Now Notice of Non-Discrimination We comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, sex, or disability. It is called a "Notice of Adverse Benefit Determination" or "NABD." Keep yourself informed about Coronavirus (COVID-19.) Explains rules and state, line of business and CMS-specific regulations regarding 837I EDI transactions. 3) Coordination of Benefits. Additionally, WellCare will have a migration section on their provider page at publishing FAQs. We try to make filing claims with us as easy as possible. We will notify you orally and in writing. Instructions on how to submit a corrected or voided claim. Transition/continuity of care is an extended period of time members are given when they join or transfer to another plan in order to receive services from out-of-network providers and/or pharmacies, until that specified period ends. For current information, visit the Absolute Total Care website. If Statement Range is April 2, 2021 through April 10, 2021, please send to Absolute Total Care. We will send you another letter with our decision within 90 days or sooner. Want to receive your payments faster to improve cash flow? Finding a doctor is quick and easy. Professional and Institutional Encounter EDI transactions should be submitted to WellCare of South Carolina Medicaid with Payer ID 59354. The Medicare portion of the agreement will continue to function in its entirety as applicable. We are proud to announce that WellCare is now part of the Centene Family. The way your providers or others act or treat you. 1096 0 obj <>stream March 14-March 31, 2021, please send to WellCare. Examples of good cause include, but are not limited to, the following: We will send you a letter within five business days of getting your appeal. They are called: State law allows you to make a grievance if you have any problems with us. Box 3050 A grievance is when you tell us about a concern you have with our plan. We encourage you to check the Medicaid Pre-Auth Check Tool in the For Providers section on the Absolute Total Care website at absolutetotalcare.com to ensure that you are accessing the most current Absolute Total Care authorization requirements for dates of service on or after 4/1/2021. The onlineProvider Manual represents the most up-to-date information on Absolute Total Cares Medicaid Plan, programs, policies, and procedures. Q. To continue care with their current provider after the 90-day transition of care, the provider must agree to work with Absolute Total Care on the member's care and accept Absolute Total Care's payment rates. Providers will continue to work directly with WellCare to address any claims for dates of service prior to the membership transfer of April 1, 2021. With the completion of this transaction, we have created a premier healthcare enterprise focused on government-sponsored healthcare programs. How do I bill a professional submission with services spanning before and after 04/01/2021? Providers will continue to work directly with WellCare to address any claims for dates of service prior to the membership transfer of April 1, 2021. Know the facts about Coronavirus (COVID-19) Our call centers, including the nurse advice line, are currently experiencing high volume. Section 1: General Information. You and the person you choose to represent you must sign the AOR statement. As of April 1, 2021, all WellCare of South Carolina Medicaid members will become Absolute Total Care members. However, as of April 1, 2021, all WellCare of South Carolina Medicaid members will become Absolute Total Care members. Reconsideration or Claim Disputes/Appeals: A hearing officer from the State will decide if we made the right decision. This manual sets forth the policies and procedures that providers participating in the Wellcare Prime network are required tofollow. Download the free version of Adobe Reader. For additional information, questions or concerns, please contact your local Provider Network Management Representative. We want to ensure that claims are handled as efficiently as possible. Shop or Enroll in a Plan Frequently Asked Questions Find a Doctor Download Digital ID Card Welcome Allwell Members! When you receive your notification of WellCares grievance resolution, and you are dissatisfied with the resolution regarding adverse decisions that affect your ability to receive benefits, access to care, access to services or payment for care of services, you may request a second level review with WellCare. Wellcare uses cookies. We will also send you a letter with our decision within 72 hours from receiving your appeal. However, there will be no members accessing/assigned to the Medicaid portion of the agreement. Prior authorizations issued by WellCare for dates of service on or after April 1, 2021 will transfer with the members eligibility to Absolute Total Care. We expect this process to be seamless for our valued members, and there will be no break in their coverage. By continuing to use our site, you agree to our Privacy Policy and Terms of Use. The participating provider agreement with WellCare will remain in-place after 4/1/2021. If you need assistance with your appeal please call Absolute Total Care at 1-866-433-6041 (TTY: 711) and we will assist you in filing your appeal. Check out the Interoperability Page to learn more. They must inform their vendor of AmeriHealth Caritas . Because those authorizations will automatically transfer to Absolute Total Care, it is not necessary to request the authorization again when the member becomes eligible with Absolute Total Care. PROVIDER REMINDER: It is important that providers check eligibility prior to providing services as members can potentially change plans prior to 4/1/2021 if they are in the annual choice period. What will happen to unresolved claims prior to the membership transfer? Please make sure you ask your members for a copy of their Absolute Total Care and Healthy Connections Choices Medicaid ID cards before each visit. Absolute Total Care will continue to offer Marketplace products under the Ambetter brand. Box 31384 Members will need to talk to their provider right away if they want to keep seeing him/her. Synagis (RSV) - Medical Benefit or Retail Pharmacy, 17P or Makena - Medical Benefit or Retail Pharmacy, Special Supplemental Benefits for Chronically Ill (SSBCI), Screening, Brief Intervention, and Referral to Treatment (SBIRT), Patient Centered Medical Home Model (PCMH), Healthcare Effectiveness Data and Information Set (HEDIS), Consumer Assessment of Healthcare Providers and Systems (CAHPS), National Committee for Quality Assurance (NCQA), Hurricane Florence: What You Need to Know, Absolute Total Care Payment Policy and Edit Updates Effective 5/1/21, Notice About a New Payment Integrity Audit Program, Absolute Total Care Updated Guidance for Medicaid BabyNet Therapy Providers, Wellcare By Allwell Changing Peer-to-Peer Review Request and Elective Inpatient Prior Authorization Requirements for Medicare Advantage Plans, NEW Attestation Process for Special Supplemental Benefits for Chronically Ill (SSBCI), Medicare Prior Authorization Change Summary - Effective 1/1/2023, Shortened Notification of Pregnancy (NOP) Provider Form (PDF), Notification of Pregnancy (NOP) Provider Form (PDF), Pregnancy Incentive Reimbursement Form (PDF), SCDHHS Form 1716 - Request for Medicaid ID Number - Infant (PDF), Member Appointment of Authorized Representative Form (PDF), SCDHHS Hospice Election/Enrollment Forms (PDF), Inpatient Prior Authorization Fax Form (PDF), Outpatient Prior Authorization Fax Form (PDF), SCDHHS Certificate of Medical Necessity (CMN) for Oxygen (PDF), Sick and Well Visit Reimbursement Letter (PDF), Claim Adjustments, Reconsiderations, and Disputes Provider Education (PDF), Obstetrical (OB) Incentive Programs (PDF), Provider Portal Enhancements: Claim Reconsideration and Denial Explanations (PDF), Outpatient Prior Authorization Form (PDF), Medicare Prescription Drug Coverage Determination Form (PDF), Authorization to Use and/or Disclose Health Information (PDF), Revocation of Authorization to Use and/or Disclose Health Information (PDF), Behavioral Health Psychological or Neuropsychological Testing Authorization Request Form (PDF), Electroconvulsive Therapy (ECT) Authorization Request Form (PDF), Behavioral Health Outpatient Treatment Request Form (PDF), Transitional Care Management Services Fact Sheet (PDF), Expedited Prior Authorization Request FAQ (PDF), Balance Billing Quick Reference Guide (PDF), 2021 Prior Authorization List Part B Appendix A (PDF), Bi-Annual Prior Authorization Update (PDF), 2021 Bi-Annual Prior Authorization Update Effective 8/1/21 (PDF), 2021 List of Covered Drugs (Formulary) Changes (PDF), New Century Health Implementation Notification (PDF), 2022 Wellcare by Allwell Provider Manual (PDF), Provider Reconsideration/Dispute Form (PDF), Behavioral Health Neuropsychological Testing Authorization Request Form (PDF), Behavioral Health Outpatient Treatement Request Form (PDF), Behavioral Health Electroconvulsive Therapy (ECT) Authorization Request Form (PDF), Electronic Funds Transfer (ETF) Features (PDF), 2021 List of Covered Drugs (Formulary) DSNP Changes (PDF), 2021 List of Covered Drugs (Formulary) HMO Changes (PDF). Providers are encouraged to visit the Provider Resources page at absolutetotalcare.com for manuals, forms and resources related to claims submission, eligibility, prior authorization and more. 1044 0 obj <> endobj Professional and Institutional Fee-For-Service EDI transactions should be submitted to WellCare of South Carolina Medicaid with Payer ID 14163. L]4(f4/pn~YTZSp-5/O*F)e~p:a6o{x8r Prior authorizations issued by WellCare for dates of service on or after 4/1/2021 will transfer with the members eligibility to Absolute Total Care. In South Carolina, WellCare and Absolute Total Care are joining to better serve you. We will give you information to help you get the most from your benefits and the services we provide. It will tell you we received your grievance. If you wish to use a representative, then he or she must complete an Appointment of Representative (AOR) statement. From Date Institutional Statement Dates prior to 4/1/2021 should be filed to WellCare of South Carolina. To write us, send mail to: You can fax it too. By continuing to use our site, you agree to our Privacy Policy and Terms of Use. Ambetter from Absolute Total Care - South Carolina. A. WellCare credentialing cycles will be shared with Absolute Total Care in order to reduce duplicative credentialing in the future. Wellcare wants to ensure that claims are handled as efficiently as possible. To continue care with their current provider after the 90-day Transition of Care, the provider must agree to work with Absolute Total Care on the member's care and accept Absolute Total Care's payment rates. you have another option. This must be done within 120 days from the date of Notice of Appeal Resolution you received from us. DOS prior to April 1, 2021: Processed by WellCare. Claims submission, correspondence, and contact resources will stay the same for the Medicare line of business. Coronavirus Disease 2019 (COVID-19) causes respiratory illness in people and can spread from person to person. Outpatient Prior Authorization Form (PDF) Inpatient Prior Authorization Form (PDF) Providers do not need to do anything additional to provide services on or after 4/1/2021 if the provider is in network with both WellCare and Absolute Total Care. Explains how to receive, load and send 834 EDI files for member information. Providers can help facilitate timely claim payment by having an understanding of our processes and requirements. Tampa, FL 33631-3372. People of all ages can be infected. These SNP plans provide benefits beyond Original Medicare, and may include transportation to medical appointments and vision exams. Welcome to WellCare of South Carolina! If Statement Range is April 2, 2021 through April 10, 2021, please send to Absolute Total Care. Those who attend the hearing include: You can also request to have your hearing over the phone. Q. We will do this as quickly as possible as but no longer than 72-hours from the decision. $8v + Yu @bAD`K@8m.`:DPeV @l WellCare is the health care plan that puts you in control. The hearing officer will decide whether our decision was right or wrong. You, your friend, a relative, legal counsel or other spokesperson who has your written consent may ask for a State Fair Hearing. The benefit can be used to get more than 150 items - including vitamins, pain relievers, cold and allergy medicines, baby wipes, and diapers - at no cost . WellCare of North Carolina will begin to release medical payments to providers beginning July 6, 2021. Learn how you can help keep yourself and others healthy. Welcome to WellCare Provider Login Contact Us Join Our Network Medicaid Medicare Tools News and Education AcariaHealth Specialty Pharmacy Pharmacy Forms Request for Drug Coverage Request to Review Drug Coverage Denial . Welcome to Wellcare By Allwell, a Medicare Advantage plan. Farmington, MO 63640-3821. Copyright 2023 Wellcare Health Plans, Inc. You can file your appeal by calling or writing to us. Please make sure you ask your members for a copy of their Absolute Total Care and Healthy Connections Choices Medicaid ID cards before each visit. Can I continue to see my current WellCare members? Forms. The member will be encouraged to establish care with a new in network primary care provider/specialist prior to the end of the transition/continuity of care period to review present treatment plan and coordinate the member's medical care. Federal Employee Program (FEP) Federal Employee Program P.O. Select your topic and plan and click "Chat Now!" to chat with a live agent! Prior authorizations issued by WellCare for dates of service on or after 4/1/2021 will transfer with the members eligibility to Absolute Total Care. Please be sure to use the correct line of business prior authorization form for prior authorization requests. What will happen to my Participating Provider Agreement with WellCare after 4/1/2021? Absolute Total Care will honor all existing WellCare authorization approvals that include dates of service beyond March 31, 2021. With the completion of this transaction, we have created a premier healthcare enterprise focused on government-sponsored healthcare programs. When can providers begin requesting prior authorization from Absolute Total Care for WellCare Medicaid members for dates of service on or after April 1, 2021? Claims Department Claims for services on or after April 1, 2021 should be filed to Absolute Total Care for processing. WellCare offers participating providers EFT and ERA services at no charge through PaySpan Health. Claims will be processed according to timely filing provisions in the providers Absolute Total Care Participating Provider Agreement. We would like to help your billing department get your EDI (claims and real time) transactions processed as efficiently as possible. Written notice is not needed if your expedited appeal request is filed verbally. The state has also helped to set the rules for making a grievance. You will receive an acknowledgement letter within 5 business days, and we will send you a resolution within 90 calendar days. You can ask for a State Fair Hearing after we make our appeal decision. By continuing to use our site, you agree to our Privacy Policy and Terms of Use. Absolute Total Care will honor all existing WellCare authorization approvals that include dates of service beyond March 31, 2021. If at any time you need help filing one, call us. Claims for services prior to April 1, 2021 should be filed to WellCare for processing. Q. Timely Filing Limit: Timely Filing Limit is the time frame set by insurance companies and provider has to submit health care claims to respective insurance company within the set time frame for reimbursement of the claims. A. WellCare credentialing cycles will be shared with Absolute Total Care in order to reduce duplicative credentialing in the future. No, Absolute Total Care will continue to operate under the Absolute Total Care name. Addakam ditoy para kenka. If your services are continued during an appeal or a hearing, you can keep getting them until: If the hearing is decided in your favor, well approve and pay for the care that is needed. All billing requirements must be adher ed to by the provider in order to ensure timely processing of claims. At the hearing, well explain why we made our decision. This manual sets forth the policies and procedures that providers participating in the Absolute Total Carenetwork are required tofollow. It can also be about a provider and/or a service. Q. You will need Adobe Reader to open PDFs on this site. A. A. Transition/Continuity of Care is an extended period of time members are given when they join or transfer to another plan in order to receive services from out-of-network providers and/or pharmacies, until that specified period ends. For as long as your member has an active WellCare subscriber number, you should continue to submit claims directly to WellCare as you have in the past. For example, if a payer has a 90-day timely filing requirement, that means you need to submit the claim within 90 days of the date of service. Our health insurance programs are committed to transforming the health of the community one individual at a time. This person has all beneficiary rights and responsibilities during the appeal process. UHC Community TFL - Timely filing Limit: 120 Days: Unitedhealthcare TFL - Timely filing Limit: Participating Providers: 90 days Non Participating Providers: 180 Days If its secondary payer: 90 days from date of Primary Explanation of Benefits Unitedhealthcare timely filing limit for appeals: 12 months from original claim determination Contact Absolute Total Care Provider Service at1-866-433-6041if youhave questions. Learn more about how were supporting members and providers. Q. We may apply a 14 day extension to your grievance resolution. The hearing officer does not decide in your favor. Our call centers, including the nurse advice line, are currently experiencing high volume. That's why we provide tools and resources to help. We're here for you. Members must have Medicaid to enroll. Box 8206 S< A. How do I join Absolute Total Cares provider network? A. WellCare Medicaid members migrating to Absolute Total Care will be assigned to their assigned WellCare Primary Care Physician (PCP) as if the PCP is in network with Absolute Total Care. Professional and Institutional Fee-For-Service/Encounter EDI transactions should be submitted to Absolute Total Care Medicaid with Payer ID 68069 for Emdeon/WebMD/Payerpath or 4272 for Relay Health/McKesson.