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Overview & Resources

Wellcare partners with providers to develop and deliver high-quality, cost-effective health care solutions. We understand that maintaining a healthy community starts with providing care to those who need it most. We are committed to improving the quality of life of our millions of members, who often include some of our nation's most vulnerable populations.

California Provider Resources


IPA, Hospital & Ancillary Medicare Provider Manual

Contains key phone numbers and information on claims, appeals and more.

Details the various tools available to help providers do business with WellCare.

Detailed plan information on important topics relating to vision plan.

Improve CAHPS Results and Patient Experience - A Provider Guide

Guide to using self-service features in the provider portal.

California Dental Plans

How to quickly get in touch with WellCare to get your questions answered.

Make appointments or respond to patients within regulatory standards.

A STAR score is a rating system used by Center for Medicare and Medicaid Services (CMS) to measure how well healthcare plans perform in categories such as quality of care and customer service. Ratings range from 1 STAR (poorest quality) to 5 STARS (highest quality).

24-327: When a member’s PCP is not available for immediate care, knowing the best option to get same-day health care services can save time, travel and unnecessary cost.

Medicare Provider/Facility Tip Sheets

Follow-Up After Emergency Department Visit For People With High-Risk Multiple Chronic Conditions (FMC)

Hospitalization for Potentially Preventable Complications (HPC)

Follow-Up After Emergency Department Visit For People With High-Risk Multiple Chronic Conditions (FMC) Medicare Beneficiaries

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Last Updated On: 3/12/2024