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

Wellcare Realigns Health Risk Assessment Program Effective 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-SNP) HRA completion payments on effectuated members for 1099 partners.
• Removal of payment for non-SNP HRA completion.

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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.

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