Maintain contract compliance by immediately advising Wellcare if your ability to deliver care is compromised
Establish a clear line of communication with Wellcare
A clear line of communication with Wellcare is mandatory.
If a hospital’s capacity to provide complete care is compromised, including any facility issues or labor actions that may affect available resources, they are required to promptly notify their Provider Engagement Network Specialist (PENS).
This notification is essential for Wellcare to be able to act and work to minimize any potential impact on patient care. Prioritizing these actions helps hospitals meet patient needs and maintain health care standards.
Hospitals must be vigilant in their efforts to assess and manage their resources effectively, as any shortfall in supplies or personnel can severely hinder their ability to deliver timely and effective health care services.
Additional information
Relevant sections of the Wellcare Provider Manual have been revised to reflect the information contained in this update as applicable. The manual is available online atprovider.wellcare.com/california.
If you have questions regarding the information contained in this update, contact 866-999-3945.
