Provider Resources
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- Plan Reference Guide
- Plan Guide
- Provider Fitting Fees
- Network Portal Plans (2025)
- HHP Dispensing (2025)
- HHP-15% Dispensing (2025)
- Medicaid & Dual Dispensing (2025)(500 benefit or less)
- Dual Dispensing (2025) (1000 benefit or more)
- Star Dispensing (2025)
- 3-Tier Dispensing (2025)
- Workers Comp Dispensing (2025)
- AudioNet Plans Dispensing (2025)
- Network Payment Form 2025
- Walk-In Member Appointment Registration Form 2025
- Plan Designs
- Wellcare
- New York Plan Designs Wellcare Fidelis NY Dual $350 Per Aid
- Maine Plan Designs Wellcare ME Dual $1000 Per Aid HMO
- Connecticut Plan Designs Wellcare CT Dual $1000 Per Aid HMO
- Hawaii Plan Designs Wellcare HI Dual $350 Per Aid
- Iowa Plan Designs Wellcare IA Dual $1000 Per Aid HMO
- North Carolina Plan Designs Wellcare NC Medicaid - Adult
- Rhode Island Plan Designs Wellcare RI Dual $1000 Per Aid
- Washington Plan Designs Wellcare WA Dual $1000 Per Aid
- CarePlus
- Careplus Plan Designs CareNeeds FL
- Humana Florida
- Humana FL Plan Designs Humana FL 3-Tier CoPay Program
- Freedom
- Freedom Plan Designs Freedom Health MCR $750 Per Aid
- Optimum
- Optimum Plan Designs Optimum Dual SNP
- UHC FL MMA
- UHC FL MMA Plan Design UHC FL Community Plan Medicaid MMA
- Sunshine FL
- Sunshine Fl Plan Designs Sunshine FL MMA
- Elderplan
- Forms
- Frequently Used Documents
- AllWell/Synchrony Application (2024)
- HearUSA Member Registration Form (2024)
- Service Model Payment Form (2024)
- HearUSA Return Exchange Form (2024)
- Purchase Agreements
- AK - Alaska
- AL - Alabama
- AR - Arkansas
- AZ - Arizona
- CA - California updated regs
- CO - Colorado
- CT - Connecticut
- DC - District of Columbia
- DE - Delaware
- FL - Florida
- GA - Georgia
- HI - Hawaii
- IA - Iowa
- ID - Idaho
- IL - Illinois
- IN - Indiana
- KS - Kansas
- KY - Kentucky
- LA - Louisiana
- MA - Massachusetts
- MD - Maryland
- ME - Maine
- MI - Michigan
- MN - Minnesota
- MO - Missouri
- MS - Mississippi
- MT - Montana
- NC - North Carolina
- ND - North Dakota
- NE - Nebraska
- NH - New Hampshire
- NJ - New Jersey
- NM - New Mexico
- NV - Nevada
- NY - New York
- OH - Ohio
- OK - Oklahoma
- OR - Oregon
- PA - Pennsylvania
- PR - Puerto Rico
- RI - Rhode Island
- SC - South Carolina
- SD - South Dakota
- TN - Tennessee
- TX - Texas
- UT - Utah
- VA - Virginia
- VT - Vermont
- WA - Washington
- WI - Wisconsin
- WV - West Virginia
- WY - Wyoming
- Blank Sales Order
- Additional Resources
- Audiology Online Courses
Wellcare Fidelis NY MCR HMO $350 Per Aid
Wellcare Fidelis NY MCR HMO $1500 Per Aid
Wellcare NY Dual $350 Per Aid HMO
Wellcare NY Dual $750 Per Aid
Wellcare NY Exam Only SMS
Wellcare NY MCR HMO $350 Per Aid
Wellcare NY MCR HMO $750 Per Aid
Wellcare NY MCR PPO $350 Per Aid
Wellcare NY MCR PPO $750 Per Aid
Wellcare NY PPO Dual $750 Per Aid
Wellcare ME Dual $1000 Per Aid PPO
Wellcare ME Dual $1500 Per Aid
Wellcare ME MCR $500 Per Aid
Wellcare ME MCR $750 Per Aid HMO
Wellcare ME MCR $750 Per Aid PPO
Wellcare ME MCR Exam Only
Wellcare ME MCR PPO $350 Per Aid
Wellcare CT MCR $350 Per Aid HMO
Wellcare CT MCR $350 Per Aid PPO
Wellcare CT MCR Exam Only
Wellcare HI MCD Adult SMS
Wellcare HI MCR $350 Per Aid
Wellcare HI MCR $750 Per Aid
Wellcare HI MCR $1000 Per Aid
Wellcare IA Dual $1500 Per Aid HMO
Wellcare IA MCR $1000 Per Aid
Wellcare RI Dual $1500 Per Aid
Wellcare RI MCR $500 Per Aid
Wellcare RI MCR $1000 Per Aid PPO
Wellcare WA MCR $350 Per Aid
Wellcare WA MCR $500 Per Aid
Wellcare WA MCR $1000 Per Aid
CarePlus FL $250 Per Aid Benefit
CarePlus FL $500 Per Aid Benefit
CarePlus FL $600 Per Aid Benefit
CarePlus FL $750 Per Aid Benefit
CarePlus FL $1000 Per Aid Benefit
CarePlus FL $1250 Per Aid Benefit
CarePlus FL $1500 Per Aid Benefit
CarePlus FL $1750 Per Aid Benefit
CarePlus FL $2000 Per Aid Benefit
CarePlus FL $3600 Per Aid Benefit
Humana FL DUAL 3-Tier CoPay Program
Humana FL Dual $1000 Per Aid
Humana FL MCR $250 Per Aid
Humana FL MCR $500 Per Aid
Humana FL MCR $600 Per Aid
Humana FL MCR $750 Per Aid
Humana FL MCR $1000 Per Aid
Humana FL MCR $1250 Per Aid
Humana FL PPO $500 Per Aid
Humana FL PPO $1000 MAX
Humana FL PPO DSNP $1000 MAX
Humana FL PPO DSNP $3600 MAX
Provider Freedom Health MCR $500 Per Aid
Provider Freedom Dual SNP
Optimum Health MCR $500 Per Aid
Optimum Health MCR $750 Per Aid
Sunshine Ambetter Health Exchange