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Provider Resource Center: Home health referring providers

Wellcare is partnering with tango to deliver a fully integrated, post-acute care (PAC) episode management program, inclusive of skilled home health services, facilitating high-quality, end-to-end post-acute care management.

Medicare beneficiaries can receive home health services when certified by qualified healthcare providers. The following professionals are authorized to prescribe and certify these services:

  • Physicians (MDs and DOs): Doctors of Medicine and Osteopathy enrolled in Medicare
  • Nurse Practitioners (NPs): Medicare-enrolled nurse practitioners who are actively involved in the patient’s care
  • Physician Assistants (PAs): Certified physician assistants enrolled in Medicare
  • Clinical Nurse Specialists (CNSs): Medicare-enrolled clinical nurse specialists

This expanded partnership is specific to Wellcare’s Medicare Advantage members. Wellcare will continue to directly contract and pay claims for post-acute facilities.

Our partnership encompasses several key components that aim to enhance the quality and delivery of skilled home health for Wellcare’s members:

  1. Referral coordination and authorization management for skilled home health services:
    • Efficient management of referrals, referral coordination, and authorizations
  2. Network development and management for skilled home health:
    • Developing, contracting, maintaining, and credentialing a robust network of skilled home health care providers
  3. Claims payment for skilled home health:
    • Timely and accurate claims payment for the services provided for skilled home health
  4. Wellcare will continue to directly contract and pay claims for post-acute facilities

Delegated services

Skilled home health delegated services provided by tango

  • Skilled nursing services on an intermittent/part-time basis 
  • Skilled home health aide services on an intermittent/part-time basis 
  • Physical therapy 
  • Occupational therapy 
  • Speech-language pathology 
  • Medical social work 

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.

Skilled home health referrals and prior authorizations

Effective July 1, 2025: Skilled home health referrals for Wellcare members will be managed through tango, streamlining referral placement and ensuring timely start of care.

Actions required:

  1. Submit referrals to tango: Begin sending all skilled home health referrals to tango effective July 1, 2025.
  2. Referral submission options:
    • Hospital discharge planning systems: tango can retrieve referrals directly from platforms like WellSky CarePort solutions, Strata, MorCare, and Ensocare.
    • Epic users: tango can become a registered user of your Epic instance to receive referrals.
    • Other systems: If using a different EMR or discharge planning software, please contact us below.
    • Sub-acute and community-based providers: Submit referrals via tango’s referral site.
  3. Training and onboarding: tango-WellSky will reach out prior to July 1, 2025 to schedule training and onboarding sessions.

Contact us

If you have any questions or would like further information on how to work with tango, please reach out to our team:

Provider resources

  • tango’s skilled home health provider finder: For a real-time view of tango’s existing networks please refer to our provider finder

  • Submit a referral for home health services: tango’s online form to request services for your member