Training Requirement: Model of Care

Date: 03/04/24

As a reminder, the Centers for Medicare and Medicaid Services (CMS) require that Medicare Advantage Organizations (MAOs) inform network providers and practitioners about the requirements to complete the annual Wellcare By Allwell Model of Care Training. Providers can access the training on the Model of Care Training webpage.

Please use this training module to better understand Wellcare’s clinical philosophy and general approach to the delivery of care to our members. Providers must complete the training within 30 days of contracting, hiring or becoming a delegated entity and annually thereafter.

In order to streamline the training requirements for our provider offices, Wellcare will accept proof of MOC trainings from other health plans, provided that the content is generally consistent with Wellcare’s training.

Providers who fail to proactively submit these attestations annually should be prepared to submit them within 1 Business Day in the event of an audit. Failure to do so may result in corrective action, which may include an onsite visit, additional education or, in certain circumstances, suspension or termination from the Wellcare network. Providers are obligated to retain copies of their attestations for 10 years.

For any questions, please contact your Account Manager. To access their contact information visit Find My Account Manager. Providers can also contact Provider Services at 1-877-391-5921.