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26-848: June 2026

July 7, 2026

Access California/Providers for the latest operational and plan updates to better service your patients.

The below are provider communications posted online in June 2026, and categorized as "News & Announcements." No changes were made to the Wellcare Provider Operations Manual in June 2026.

Date Posted Number & Title Audience Summary
6/15/26 26-702m, Access the HEDIS® Resource Page for the Latest Tip Sheets
  • Physicians/Practitioners
  • IPAs
  • Hospitals
  • Ancillary
  • Behavioral Health
     
Visit the HEDIS Measures & Billing Codes resource page at https://bit.ly/WC-HEDIS-Tip-Sheets to access tip sheets. The tip sheets provide current Healthcare Effectiveness Data and Information Set (HEDIS®) measurement descriptions, eligible populations, exclusions, documentation and coding requirements, and best practice guidance.
 6/29/26 26-759m, Meet TRC and FMC Requirements: Required Documentation and Timelines   
  • Physicians/Practitioners
  • IPAs
 Access a new standardized checklist of required timelines, documentation, and billing guidance to ensure compliance with the Transitions of Care (TRC) and Follow-Up After Emergency Department Visit (FMC) measures, which support accurate reporting and reduce care gaps.

Access communications and the operations manual

Follow these steps to access communications and the provider operations manual online:

  • Go to www.wellcare.com/California/Providers
  • For communications: Select Provider Bulletins
  • For the operations manual: From the Provider menu at the top of the page, select Overview under the Medicare column, download the provider manual PDF document.

If you have questions regarding the information contained in this update, contact 866-999-3945.

This information applies to Physicians and Practitioners, Independent Practice Associations (IPAs), Hospitals, Ancillary Providers, and Behavioral Health Providers.

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Y0020_WCM_178064E_M / H9916_WCM 178009E_M Last Updated On: 11/10/2025