Skip to Main Content
Home
Login
Careers
Blog
Find a Doctor
Contact
Enter keyword for site search.
Search
Contrast
On
Off
a
a
a
language
Home
Spanish
Find a Doctor
For Participants
Community HealthChoices
Medicare Advantage
Health Insurance Marketplace
For Providers
Login
Become a Provider
Pre-Auth Check
Risk Adjustment
Pharmacy
Provider Relations
Provider Resources
Quality Program
Service Coordination Entities
Provider Training
Provider Updates
About Us
About Centene
Career Opportunities
PHW Proud Employee Engagement
Community
COVID-19
Community Connect
Social Determinants of Health (SDoH)
Press Releases
Community Outreach
SEARCH
MENU
search
Go!
Find a Provider
Find a Doctor
For Participants
Community HealthChoices
Login
Find a Provider
How to Enroll
Benefits & Services
Benefits Overview
Co-Pays
Flu Shots
Pharmacy
Rewards Program
Participant Resources
Assistive Technology
Caregiver & Participant LGBTQ+ Resources
Participant Directed Option/Financial Management Services (FMS) FAQ's
Get the Most from Your Coverage
Interoperability and Patient Access
PHW Health Education
Patient Education Resource Library (Krames)
Participant Newsletter
PHW Non-Discrimination Notice
Transportation
Medicaid Eligibility Renewal
Welcome Participant
Advance Directive
Complaint, Grievance, and DHS Fair Hearing Process
Caregiver & Participant Resources
Participant Advisory Committee
Participant Handbooks and Forms
Participant Rights and Responsibilities
Quality Improvement Program
Reporting Fraud, Waste and Abuse
Transition of Care
Caregiver Resources
Organizational Tools
Member Care
Support Resources
Medicare Advantage
medicaid
resources
Interoperability and Patient Access
Medicaid Eligibility Renewal
Health Insurance Marketplace
For Providers
Login
Become a Provider
Contract Request Form
Credentialing Forms
Pre-Auth Check
PA Health & Wellness (Community HealthChoices)
Wellcare by Allwell (Medicare)
Ambetter from PA Health & Wellness (Commercial/Exchange)
Risk Adjustment
Pharmacy
Provider Relations
Provider Resources
Manuals, Forms and Resources
Reporting Communicable Diseases
Submit Attestations Online for Chronically Ill Members
Eligibility Verification
Nursing Facility
Participant Complaint, Grievance, and DHS Fair Hearing Process
Integrated Care
Prior Authorization
Choosing Wisely
National Imaging Associates (NIA)
Provider Newsletter
Report Fraud, Waste and Abuse
Patient Centered Medical Home Model
Electronic Transactions
PaySpan - EFT/ERA
Appeal and Reconsideration Procedures
Clinical & Payment Policies
Provider Changes
Quality Program
HEDIS
Medical Records
Practice Guidelines
Providing Quality Care
Service Coordination Entities
Provider Training
Medicare Model of Care (MOC) Training Attestation
HCBS Training Attestation
Provider Updates
About Us
About Centene
Career Opportunities
PHW Proud Employee Engagement
Contact Us
Newsroom
Privacy Policy
Terms & Conditions
Notice of Privacy Practices
Community
COVID-19
Community Connect
Social Determinants of Health (SDoH)
Employment Resources
Employment Journey
Resources
Events
Housing Resources
Food Resources
Press Releases
Community Outreach
Meet the Team
Newsletters
Events
Free Events
PHW Events
language
Home
Spanish
Home
Login
Careers
Blog
Find a Doctor
Contact
For Providers
Login
Become a Provider
Contract Request Form
Credentialing Forms
Pre-Auth Check
PA Health & Wellness (Community HealthChoices)
Wellcare by Allwell (Medicare)
Ambetter from PA Health & Wellness (Commercial/Exchange)
Risk Adjustment
Pharmacy
Provider Relations
Provider Resources
Manuals, Forms and Resources
Reporting Communicable Diseases
Submit Attestations Online for Chronically Ill Members
Eligibility Verification
Nursing Facility
Participant Complaint, Grievance, and DHS Fair Hearing Process
Integrated Care
Prior Authorization
Choosing Wisely
National Imaging Associates (NIA)
Provider Newsletter
Report Fraud, Waste and Abuse
Patient Centered Medical Home Model
Electronic Transactions
PaySpan - EFT/ERA
Appeal and Reconsideration Procedures
Clinical & Payment Policies
Provider Changes
Quality Program
HEDIS
Medical Records
Practice Guidelines
Providing Quality Care
Service Coordination Entities
Provider Training
Medicare Model of Care (MOC) Training Attestation
HCBS Training Attestation
Provider Updates
Medicare Model of Care (MOC) Training Attestation
Attestation
required
*
I hereby attest that I have received the Wellcare by Allwell 2023 Model of Care annual Provider training.
Error:
This field is required.
Name of Individual Completing Attestation
*
Error:
This field is required.
Group or Practitioner Name
*
Error:
This field is required.
Street Address
*
Error:
This field is required.
City
*
Error:
This field is required.
State
*
Select Your State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Error:
This field is required.
Zip Code
*
Error:
This field is required.
Phone Number
*
Error:
This field is required.
Email Address
*
Error:
This field is required.
Tax ID Number(s) - Please include all Tax ID Numbers that you are representing when completing this form:
*
Error:
This field is required.
Error:
Please complete the captcha by selecting the checkbox, I am not a robot.