Frequently Asked Questions
Medicaid provides medical coverage to low-income individuals and families. The state and federal government share the cost of the Medicaid program.
Medicaid eligibility is determined either by the State of New Jersey Department of Human Services or the Social Security Administration (for SSI recipients).
There are several ways individuals may apply for assistance:
- You can apply online through njfamilycare.org or njhelps.org.
- You can download an application for NJ FamilyCare/Medicaid from njfamilycare.org or call 1-800-701-0710 to request that an application be mailed to you.
- You can apply at your local County Welfare Agency.
Find your provider directory. It has a listing of all hospitals in your WellCare of New Jersey network. Your primary care physician or specialist will coordinate your hospital care.
Conact our Member Services department. You can request a copy. You can also use our Find a Provider feature. You will get a listing of providers in your area.
Call 911 or proceed to the nearest medical facility. Call your primary care physician or Member Services as soon as possible after the emergency. Make sure that we are aware of your situation. Then, we can assist you to receive appropriate follow-up care.
Use the Contact Us form. You can also call the Member Services number on the back of your member ID card.
If you are moving, please update your records. Submit the Change of Address form available in your Member Handbook. Or, call Member Services with your new address. You can also use the Contact Us form.
Please complete our Become a Provider form or Contact Us form for more information on how to join our network. If you want to join our Medicaid provider network, please be sure to visit your state-specific Medicaid website to submit a request.
Please check your WellCare welcome letter. You can also use the Contact Us form for additional help.
To check claim status, log into the secure portal at provider.wellcare.com. The secure portal is for participating WellCare providers that are contracted through Medicaid or Medicare lines of business.
Here are the steps to check a claim status:
- Once you log into the secure provider portal, navigate to the Claims landing page.
- Search for the claim in a variety of ways including: WCN Number, Claim Number, Member ID, Provider ID, Member Name and DOB, Medicare ID, Medicaid ID or DCN.
*Note: Certain items will require that you enter a date range under “Service Date”.
- Select the “Search” button and the claim results will display below.
Yes. WellCare of New Jersey is pleased to offer providers electronic funds transfer (EFT) and electronic remittance advice (ERA) services at no charge. Offered in partnership with PaySpan Health, you now have access to a secure, quick way to electronically settle claims. Using this no-cost service, providers can settle claims electronically, without making an investment in expensive EDI software.
You can find additional helpful information in your Quick-Reference Guide.
Watch the videos and see why we are so passionate about serving our members and the communities in which they live!
Video: A Mission To Serve - WellCare Health Plans