Wellcare | Realignment of Health Risk Assessment Program Effective April 1, 2024

March 25, 2024

To support quality improvement, retention, and effectuation initiatives, Wellcare will change its payment of all D-SNP and C-SNP Health Risk Assessments (HRAs) to effectuation versus submission effective April 1, 2024.

This change applies to D-SNP and C-SNP HRAs completed in both Ascend and Sunfire on or after April 1, and for members with an effective date of May 1 and forward. Additionally, Wellcare will update its administrative payment amounts effective on the same date.

Key Change Highlights 

Wellcare’s new plan will change the current administrative payment amounts to:

  • $150 for Special Needs Plans (D-SNPs and C-SNP) HRA completion payments on effectuated members for 1099 partners.
  • Removal of payment for non-SNP HRA completion.

HRAs can be completed up to 90 days after the application submission date. 

For helpful HRA program questions, please review the HRA Program Realignment FAQ. If you have additional questions about this change, please contact your local Sales Leader.

As always, thank you for your valued partnership!

For more information, contact a Pinnacle Financial Services representative today

1 (800) 772-6881 x7731 | sales@pfsinsurance.com

Contact a Pinnacle Representative if you have any questions.

1 (800) 772-6881


Submit a Comment

Contact Us

Contact a Pinnacle Financial Service representative today for assistance.