Due to the current government shutdown, we want to let you know that updates to your Medicare account may take longer than usual. Learn more about how this may affect your services.
Wellcare By Meridian Providers
Thank you for being a trusted partner in care. We’re dedicated to working alongside you to ensure your patients receive the highest quality care.
On our site, you’ll find a range of helpful resources including key documents and forms, clinical guidelines, news and other updates.
Join Our Provider Network
Not a Wellcare By Meridian Provider? Complete our “Join Our Network” form to begin the contracting process.
Provider Resources
Wellcare By Meridian encourages the use of evidence-based Clinical Practice Guidelines (CPGs) by our providers. Our Quality Improvement Committee approves and adopts CPGs for prevention, diagnosis, and management of medical and behavioral health conditions. These guidelines are developed by nationally-recognized sources for the provision of acute, chronic, and behavioral health services relevant to populations served.
Wellcare By Meridian promotes implementation of these CPGs via dissemination among practitioners and uses numerous performance measures to provide feedback to achieve consistent and high-quality health outcomes for our members. CPGs are reviewed annually and updated as necessary by the Meridian Physician Advisory Committee (PAC) and approved by the Quality Improvement Committee and Board of Directors.
Medical Guidelines
These CPGs are the basis for our Disease Management and Behavioral Health programs.
- Behavioral Health Guidelines
- Clinical Practice and Preventive Health Guidelines
Your practice is participating in the Meridian Integrated Duals Plan, effective January 1, 2026.
- Wellcare By Meridian Aligned D-SNP – FAQs (PDF)
- Advance Directives Information (PDF) - Coming Soon
Provider Training, Orientation, and Webinars
Wellcare By Meridian follows CMS guidelines to deliver the appropriate educational pieces to its provider network. Together, we will achieve outstanding quality and increased value in the care provided to our members. Below are training options with links to booklets and modules.
Mandatory Training Attestation
If you have already completed this mandatory training with another health plan, please fill out the form below and return to Wellcare By Meridian via one of the following methods:
Fax: 1-833-560-2915
Email: ilproviderrelations@mhplan.com
Mail:
Wellcare By Meridian
Network Development - Attestation
1333 Burr Ridge Parkway, Suite 500
Burr Ridge, IL 60527
Fraud, Waste, and Abuse (FWA)
Our FWA overview assists providers participating in FWA prevention and detection. Providers required to complete training: All contracted Medicare providers.
Cultural Competency/ADA Training
Our Cultural Competency Training provides important information to support providers in caring for our Members.
Providers required to complete this training: All providers that contract with Wellcare By Meridian to provide care for members under the Integrated Care Program contracts.
Critical Incidents Training
Our Critical Incidents Training teaches providers how to recognize and report instances of abuse and neglect of members.
Providers required to complete training: All contracted providers.
Consumer Assessment of Healthcare Providers and Systems (CAHPS®)
CAHPS surveys help members provide feedback on a variety of Wellcare By Meridian healthcare services they receive.
For revisions to the Medicare Benefit Policy Manual, frequently asked questions and their responses, please visit the Centers for Medicare and Medicare website.
We’re committed to supporting our providers through regularly scheduled training opportunities.
Learn about upcoming webinars and training opportunities.
Questions? Contact Us