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Wellcare Letter of Intent Form

Wellcare Letter of Intent Form

Use a wellcare check tracer form 0 template to make your document workflow more streamlined.

Kentucky Medicaid beneficiaries (“Members”). WellCare Health Insurance of Illinois, Inc. (“WHIIL”) is a Kentucky licensed health insurer. WHIIL and/or an affiliate (“WellCare”) may contract with the Department as an MCO. By signing below, you indicate your intention to enter into an agreement with WellCare for the provision of health care services to Members enrolled with WellCare if WellCare is awarded a contract by the Department. Such an agreement will apply to your current service area(s),...
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