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행동 건강

Please refer to your Primary Care Provider for a list of options.

Other Provider Forms

Cultural Competency Survey

Promoting Cultural and Linguistic Competency: Self-Assessment Checklist for Personnel Providing Primary Health Care Services.

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Domestic Violence Screening Guidelines

Within the managed care system, women are increasingly being seen in a primary care or obstetrician/gynecologist setting, which serves as their entry point into the health care system. The primary care visit offers a woman the chance to have a private conversation with her health care provider, where screening can be done in a less hectic setting than in the emergency department.

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Incident Report

This report is to be completed for ALL injuries occurring within a facility. Report is to be printed and submitted to Risk Management within 24 hours of occurrence.

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Interpreter Services Request

We have resources available to provide assistance when you identify members who have potential cultural or language barriers.

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PCP Request for Transfer of Member

This form is intended solely for PCP requesting "Termination of a Member" (refer to Wellcare Provider Manual). Complete this request in its entirety and attach all supporting documentation, including pertinent medical records and office notes

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Other Helpful Information

Case and Disease Management

Case and Disease Management

WellCare offers integrated Case and Disease Management programs specifically designed to assist with behavioral health issues such as depression and diabetes. Please see your Provider Manual for complete information on how to refer a member.

Case and Disease Management

Case and Disease Management

WellCare offers integrated Case and Disease Management programs specifically designed to assist with behavioral health issues such as depression and diabetes. Please see your Provider Manual for complete information on how to refer a member.