New Provider Portal Training
As a provider, you have access to a portal that streamlines your work, keeps you up-to-date more than ever before and provides critical information. Once you register and have access to the provider portal, you will find a variety of video training available in the Resources section of the portal.
To access the training videos in the portal, please register for an account and request access to your contract or medical group.
Training highlights in the secure provider portal:
Provider Portal Training Guides
- Description of Roles (PDF)
- Reference Guide (PDF)
- Registration/Account Setup: New Users (PDF)
- How to Submit an Authorization (PDF)
Access the Provider Portal for these Informative Trainings
Our provider training plan ensures that providers are educated on all aspects of WellCare of North Carolina (WellCare) and ensures that they are educated on initiatives that are key to NC Medicaid. It is our goal to give providers all the tools they need to be successful with our health plan and will be successful with NC Medicaid. WellCare provides associate led instruction during new provider orientation, which occurs within 30 days of an executed contract, provider office visits, and JOC’s.
WellCare also offers online training available on our provider portal to give continued support. This provides an opportunity to educate providers and staff about working with WellCare throughout the entire contract period.
Providers can reach out to ncproviderrelations@wellcare.com with any additional questions.
- North Carolina Medicaid Provider Orientation Module 1: Managed Care Overview
- North Carolina Medicaid Provider Orientation Module 3: EPSDT and Into the Mouth of Babes/Physician Fluoride Varnish Program
- Guidance on how to access NC DHHS's IMB CME training and the availability of the online toolkit to train others in the practice. Criteria EPSDT and IMB:
- Training related to: EPSDT benefits; EPSDT medical necessity review per federal criteria: standards and processes; AAP/Bright Futures Periodicity Schedule; Immunizations; Required components of an EPSDT screening service; Providing or arranging for all required lab screenings; Outreach activities related to EPSDT provided by the PHP; Necessary documentation required for reimbursement of EPSDT services; Medical transportation services available to Members.
- Into the Mouths of Babes/Physician Fluoride Varnish Program. Guidance on how to access NC DHHS's IMB CME training and the availability of the online toolkit to train others in the practice. WellCare shall submit the Provider Training Plan to the Department as follows: a) Upon award of the Contract; b) When material changes are made to the Training Plan; and c) Annually.
- Guidance on how to access NC DHHS's IMB CME training and the availability of the online toolkit to train others in the practice. Criteria EPSDT and IMB:
- North Carolina Medicaid Provider Orientation Module 4: Quality Improvement, Provider Support, and Population Sensitivity Health
- North Carolina Medicaid Provider Orientation Module 5: Cultural Competency
- North Carolina Medicaid Provider Orientation Module 6: Critical Incident Reporting
- North Carolina Medicaid Provider Orientation Module 7: Public Portal
- North Carolina Medicaid Provider Orientation Module 8: Secure Provider Portal
- North Carolina Medicaid Provider Orientation Module 9: Pharmacy Processes and Resources
- North Carolina Medicaid Provider Orientation Module 10: Behavioral Health Services and Support
- North Carolina Medicaid Provider Orientation Module 11: Prevention and Wellness
- North Carolina Medicaid Provider Orientation Module 12 Long-Term Support and Services
- North Carolina Medicaid Provider Orientation Module 13: Home Health and DME Services
- North Carolina Medicaid Provider Orientation Module 14: Hospital Overview
- Provider Portal: Account Registration and Affiliation
- Provider Portal: Submitting Care Gaps
- Provider Portal: Submitting Referrals
- Provider Portal: Viewing and Submitting Claims
- Cultural Competency Provider Training - See Module 5
- North Carolina Medicaid Cultural Sensitivity Overview
- North Carolina Medicaid Provider Orientation - Compliance with Fraud, Waste and Abuse
Other Trainings
- New Provider Orientation - Go to the Training Sign-Up Page
- Tobacco Cessacian Training - View Training in the Provider Manual