Wellcare Meridian Dual Align (HMO D-SNP) Billing Requirements Reminders for Federally Qualified Health Centers (FQHCs) and Rural Health Centers (RHCs)

Date: 04/14/26

Wellcare Meridian Dual Align (HMO D-SNP) providers are reminded to follow Medicare Billing Rules as indicated by CMS.

Read more about FQHC and RHC Medicare billing: requirements. Chapter 9 - Medicare Claims Processing Manual (PDF).

Please do not bill T1015 or use the HCFA CMS 1500 claim format to bill.

• Claims billed on a CMS 1500 with T1015 will deny as EXF2: DUALS MEMBER. FOLLOW MEDICARE SUBMISSION GUIDELINES FOR BILLED SERVICES*.

For questions, please contact your Provider Engagement representative at ILProviderRelations@mhplan.com. If you do not have an assigned representative, complete our intake form for assistance.

We appreciate your partnership. Together, we can ensure claims are processed accurately.

*CARC 252/RARC N479