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Provider Resource Center: Home health provider
Home health authorization provided by tango
As skilled home health enablers, tango offers a platform that equips and empowers home health providers with the necessary tools, resources, and support to boost their capabilities, efficiency, and overall effectiveness in providing healthcare services. tango’s partnership with Wellcare encompasses several key components that aim to enhance the quality and delivery of home health care for Wellcare’s members:
- Referral coordination and authorization management for skilled home health services:
- Efficient management of referrals, referral coordination, and authorizations
- Network development and management for skilled home health:
- Developing, contracting, maintaining, and credentialing a robust network of skilled home health care providers
- Claims payment for skilled home health:
- Timely and accurate claims payment for the services provided for skilled home health
tango’s delegated services will include the following:
| Service | Procedure Codes |
| Skilled nursing services on an intermittent/part-time basis | G0300; G0162; G0299 |
| Skilled home health aide services on an intermittent/part-time basis | G0156 |
| Physical therapy | G0151; G0157; G0159; G2168 |
| Occupational therapy | G0152; G0158; G0160; G2169 |
| Speech-language pathology | G0153; G0161 |
| Medical social work | G0155; G0493; G0494; G0495; G0496 |
Please note that while tango does not authorize behavioral health, respiratory therapy, or home infusion therapy nursing services, we can provide you with contact information for providers offering these services.
Join the tango network
tango aims to ensure exceptional in-home care for Wellcare’s Medicare Advantage members while reducing readmissions and ED utilization. We encourage your organization to apply for tango’s skilled home health network, which includes value-based payment opportunities to support our shared mission of delivering high-quality, cost-effective care.
If you are not already a participating provider with tango, we encourage you to learn more about the benefits of becoming a contracted tango provider.
Member support
Effective July 1, 2025, any skilled home health agency not already contracted with tango for the services mentioned above will be considered out-of-network for Wellcare members.
Members who are already enrolled in a skilled home health episode as of a July 1 effective date may continue receiving those services through the end of the authorization period. At that point, a request must be made to tango for continued services. Out-of-network agencies will be offered the opportunity to join the network or will be required to transition the member to an in-network provider at the end of the certification period.
For all requests related to new or concurring skilled home health treatment authorizations for services as of July 1, please direct them to tango’s provider relations team at [email protected].
Contact us
For any other assistance or information regarding skilled home health authorizations, program inquiries and feedback, training requests, language assistance, and general questions, please contact the tango team.
Provider resources
Access our library of provider resources for skilled home health providers that will help you successfully navigate this post-acute care management program.