The member, member’s representative or a provider may file a request for an expedited grievance determination verbally or in writing. A verbal request can be filed by calling Customer Service. A written request can be mailed or faxed directly to the Grievance Department at:
WellCare Health Plans
Grievance Department
P.O. Box 31384
Tampa, FL 33631-3384
or
Fax: 1-866-388-1769
Grievance Department
P.O. Box 31384
Tampa, FL 33631-3384
or
Fax: 1-866-388-1769
A determination on the expedited request will be made within 24 hours of receipt of the expedited request.
A request for an expedited grievance determination can be made for complaints related to the Plan’s decisions as follows:
A request for an expedited grievance determination can be made for complaints related to the Plan’s decisions as follows:
Extends the timeframe to make an organization determination or reconsiderations.
Refuses to grant a request for an expedited organization or reconsideration.
Refuses to grant a request for an expedited organization or reconsideration.