Wellcare's Updated VBE/HRA Process

New for 2023 AEP - Update to the VBE / HRA Process! Wellcare wants to make you aware of some updates happening with the Value Based Enrollment (VBE) process for Health Risk Assessment (HRA) completions.

New for 2023 AEP, you can earn a $75 administrative payment for completing an HRA for each completed MA/MAPD enrollment!

You can also earn a $125 administrative payment for completing an HRA for each eligible Dual-Eligible Special Needs Plan (DSNP) and Chronic Conditions Special Needs Plan (CSNP) enrollment, which remains the same as the current payment structure.

Also new for 2023, the HRA process will be integrated within Sunfire, as it currently is within Ascend. 

Summary of Changes

Administrative payments can be earned for successfully completing HRAs on all enrollment types:

• $75 administrative payment for eligible MA/MAPD enrollments.*
• $125 administrative payment for eligible DSNP/CSNP enrollments.
• VBEs are limited to enrollments for Legacy Centene, Fidelis and Wellcare plans. Ascension Complete enrollments are not eligible.
• All payment and process changes go into effect for 2023 effective enrollments, with the first administrative payment occurring mid-November 2022.

*Please note: Call Center agents are not eligible to receive the $75 administrative payment for MA/MAPD HRAs.

Reminder

In order to receive payment credit, you must:

• Fully complete the HRA.
• Select the Submit button to complete the VBE process, if completing within Ascend.

Wellcare hopes you find the updates helpful as you prepare for the 2023 AEP selling season.

If you have any questions, call us today at 866-568-9649!