April 1, 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-SNPs) 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. 

Learn More

For HRA program questions, please take a few moments to view our helpful HRA Announcement Video and Transcript and review the HRA Program Realignment FAQ.

If you have additional questions about this change, please contact your local Sales Leader.

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!

With plans and products now offered nationwide, Wellcare continues to provide competitive benefit options that meet the needs of a wide variety of beneficiaries.

Take a few moments to review the key selling features of our 2024 Push Plans by state and learn how they complement unique beneficiary needs:

• $0 or low-premium plans – Value-conscious shoppers who still desire extra benefits.
• D-SNP plans – Plans for dually eligible members which all include the Wellcare Spendables™ benefit card and $0 prescription drugs.
• LIS plans – Rich benefit plans available for those receiving the Low-Income Subsidy who do not qualify for a zero-dollar D-SNP.
• Patriot plans – Premium giveback or no-premium options for veterans or others who have their prescription drugs covered by another source.
• HMO, HMO-POS, and PPO plans – Members can choose the type of network that best fits their needs.
• PDP plans – Beneficiaries interested in a stand-alone prescription drug plan.

Note: Not all plans are available in every state. Product details and individual selling features for the plans available are listed within each market displayed in the 2024 Push Plans resource.

As always, thank you for your continued partnership!

Today’s edition has information on the following topics:

• OEP Best Practices – Navigate MA OEP with strategies for success
• Formulary Search – Find formularies with fast and accurate searches
• DST-SEP Review – Brush up on Disaster Special Enrollment Periods
• Broker Resources – Bookmark these links for ongoing sales success

MA OEP Best Practices

Navigating the do’s and don’ts for activities during the Medicare Advantage Open Enrollment Period (OEP) can make all the difference between surviving or thriving year-round. Understanding the rules and leveraging your knowledge throughout the period can help set you up for your most successful year yet.

Start by reviewing some of the do’s and don’ts for marketing and sales activities:

Learn more about allowed and disallowed MA OEP marketing activities by reviewing the Medicare Advantage Open Enrollment Period Marketing Guidelines.