provider resource center
Wellcare and tango are excited to announce the expansion of our partnership to the following States:
Ohio - Effective TBD
Texas - Effective TBD
Michigan - Effective TBD
Oregon - Effective TBD
tango is proud to be a delegated manager for Wellcare's home health benefit, specifically for its Medicare Advantage and dually eligible members for the following benefit plans:
- XXX [placeholder]
- XXX [placeholder]
- XXX [placeholder]
- XXX [placeholder]
Our expanded partnership encompasses several key components that aim to enhance the quality and delivery of home health care for patients:
1. Network Development and Management:
• Contracting, credentialing, and maintaining a robust network of home health care providers.
2. Referral Coordination and Authorization Management:
• Efficient management of home health referrals, referral coordination, and authorizations.
3. Claims Payment:
• Timely and accurate claims payment for the services provided under this delegation.
referring providers
We're paving the way for a seamless journey to initiate home health care services, with less paperwork and more efficiency.
The tango process allows for referring providers to use our online submission process for requesting prior authorization for patients requiring home health care. Once this submission is completed, the tango team will process the referral and secure home health placement for your patient.
As the go-live date for our partnership with WellCare approaches, this page will be updated with the link(s) for online home health care requests.
This page will also have a link to our Provider Finder that you may use to explore the tango network.
home health providers
As home health enablers, we offer a platform that equips and empowers our home health network with the necessary tools, resources, and support to boost their capabilities, efficiency, and overall effectiveness in providing healthcare services.
Our shared focus is on ensuring that members receive exceptional care in the comfort of their homes while reducing avoidable readmissions and unnecessary emergency department utilization. We understand the importance of a seamless transition for Wellcare's Medicare Advantage members, and we strongly encourage your organization to apply for participation in tango's home health network.
As the go-live date for our partnership with WellCare approaches, this page will be updated with the link(s) for online home health care requests.
non-PAR providers
We encourage you to learn more about the benefits of becoming a contracted provider with tango. If you have any questions or would like further information, please don't hesitate to reach out to our dedicated team by filling out our Join Our Network web form found here.
Please ensure the following are accurately entered and uploaded when submitting your request:
- Contact email
- Contact phone
- A clear copy of the W9 and Licenses of each location
Once the join our network form has been filled out in its entirety and submitted, the contract management team will email the contact listed in the form to schedule an introductory virtual meeting. In preparation for this call we ask that you ensure the appropriate decision makers are included so as not to delay the contracting process.
PAR providers
Home Health providers with an active letter of agreement (LOA) or master agreement with tango looking to expand their coverage to Ohio, Michigan, Oregon and/or Texas should contact the tango contract management team at contractmanagement@tangocare.com.
To learn more about tango’s model in the Ohio, Michigan, Oregon, and Texas markets you can contact your assigned Provider Services Specialist or email providerrelations@tangocare.com.
Transition Process
Member support for continuity of care.
Wellcare and tango are working closely together to facilitate a smooth transition for our shared members.
We will provide a detailed description of what to expect prior to each market go-live date.
Include authorization transition process based on go live dates.
How and where Referral Management would like to receive transitional authorization requests.
Common Frequently Asked Questions
- Once you have a contract in place with tango, the tango contracting department will send your information to tango’s credentialing department. Once completed, your information will go through tango’s Credentialing Committee for final approval into the tango Network.
- After approval, tango’s onboarding team will engage your agency’s point of contacts, using the Agency Contact List filled out during the contracting process. From there, your point of contact will be provided with webinar links and onboarding documents in preparation for go-live.
- tango’s value-based programs only apply to Centene markets in Ohio, Michigan, Texas, and Oregon. For in-network providers in these States, please reach out to your assigned tango Provider Service Specialist.
- For out-of-network providers, please submit a request to join tango’s network here.
- Yes. Once fully credentialed you will receive an onboarding email with resources to attend onboarding webinars, which give you access to all of our internal systems.
- These webinars will cover tango’s referral coordination platform, provider portal, authorization, and claims submission process.
- Once the onboarding process is completed you will be transitioned to a Provider Services Specialist who will support any additional requests and concerns.
i. Arizona (Medicare Advantage, Duals, Marketplace, and Medicaid)
ii. Colorado (Medicare Advantage)
iii. New Mexico (Medicare Advantage)
iv. Nevada (Duals)
v. Texas (Duals)
vi. Michigan (Duals)
vii. Ohio (Duals)
viii. Oregon (Duals)
i. Texas (Centene)
ii. Michigan (Centene)
iii. Ohio (Centene)
iv. Oregon (Centene)