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For our Wellcare members and providers, we provide transparent access to medical necessity criteria for services that require authorization.

Prospective members and providers who do not have the ability to create a portal account with Wellcare can also request access to specific guidelines by sending an email to Clinical-Guidelines@wellcare.com, and include your name, and if you are a prospective member or provider. 

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Y0020_WCM_178064E_M Last Updated On: 11/10/2025
Wellcare will be performing maintenance on Saturday, December 13th, from 6 P.M. EDT to 8 A.M. EDT the next day. You might not be able to access systems or fax during this time. We are sorry for any issues this may cause. Thank you for your patience. If you need assistance, contact us. ×