2025 Notifications
- 25-1126m Updates to Medicare Clinical Policies – September 2025
 - 25-1077m Strengthening Cognitive Health in Aging Patients
 - 25-1031m Medication Trend Updates and Formulary Changes – 4th Quarter 2025
 - 25-1063 Comply With State Law: Sign Mandatory Data Sharing Agreement by January 31, 2026
 - 25-1035m Protect Your Patients with the Flu Vaccine: Flu Season Has Arrived
 - 25-1001 Streamlined Prior Auth Starts Dec. 1 – What You Need to Know
 - 25-919 Advance Health Equity: Complete Your Required Cultural Humility & Competency Training
 - 25-927m: Updates to Medicare Medical Clinical Policies – July 2025
 - 25-824m Improve Member Care By Making Medical Record Sharing Easy and Secure
 - 25-831: Prepare for New Prior Authorization Timelines
 - 25-826m Notice of Health Outcomes Survey Flyer
 - 25-726m Coming Soon: 2025 Provider Availability & After-Hours Surveys
 - 25-682m Medication Formulary Changes – 3rd Quarter 2025
 - 25-704 Does Your Hospital Have Adequate Supplies and Staff Levels?
 - 25-654 State of Emergency: City of Malibu's Recovery from the Franklin Fire
 - Model of Care (MOC) Training Required
 - 25-541 Mark Your Calendar: New Peer-to-Peer Request Line Launches July 12, 2025
 - 25-370m Quick Reference Guide - Prescribing Diabetes Drugs
 - 25-470m 2025 Non-Formulary Drug Alternatives Available for Physicians & other Providers
 - 25-451m Important: Telehealth Benefits Continue Under Our MA Plans
 - 25-412m Extended-Day Supply Prescription (PDP)
 - 25-411m Extended-Day Supply Prescription (MAPD)
 - 25-449 Urgent Notice: Planned Strike at L.A. County Department of Health Services
 - 25-436 Relief for Providers Impacted by Southern California Wildfires
 - 25-399m Concurrent Use of Opioids and Benzodiazepines
 - 25-397m Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults
 - 25-386m Medication Formulary Changes – 2nd Qtr. 2025
 - 25-387m Access Online Transplant Performance Centers List
 - 25-344m We want to know What’s important to you
 - 25-362 Streamlined Transactions with New Features on the Availity Essentials™ Provider Portal
 - 25-296 ADT Data Report Change
 - 25-281m 2025 Medicare Mammogram Facility Incentive Program
 - 25-301 Submission Timelines Extended from 60 to 65 Days for Certain Appeals
 - 25-280 Physicians Can Now Supervise Up to Eight Physician Assistants When Criteria Are Met
 - 25-269m Updates to Medicare Clinical and Medical Policies – April 2025
 - 25-251 Out-of-network Referrals
 - 25-257 Register now! Create a Positive Outcome and Improve Access to Care
 - 25-221 Find Training/Resources in One Spot on Our Website
 - 25-195m Stay Compliant By Reviewing Changes to Medical Policies for Medicare
 - 25-199 Tips to Use the Availity Essentials Portal
 - 25-043 Find Out What Changed: New Coverage Requirements for PrEP
 - 25-005m Assist Members With Getting Care Fast
 - 25-100 SB 923 Gender Affirming Training
 - 25-057 State of Emergency: Southern California Windstorm and Fires
 - 25-027m Medication Formulary Changes – 1st Quarter 2025
 
2024 Notifications
- 25-057 State of Emergency: Southern California Windstorm and Fires
 - 25-027m Medication Formulary Changes – 1st Quarter 2025
 - 24-1350 Performant Recovery Begins DME Claim Audits February 1, 2025
 - 24-1346 State of Emergency: Bird Flu in California
 - 24-1342 HEDIS Supplemental Data Submission Deadlines for 2024
 - 24-1310m 2025 Changes for Partial Dual Eligible Medi-Cal Members
 - 24-1091m Member Notification of Specialist Terminations
 - 24-1262 Availity Provider Portal Announcement Reminder
 - 24-1238m Important 2025 Medicare Plan Changes
 - 24-1238b 2025 Medicare Supplemental Vendor Contact Information
 - 24-1258m Review Changes to Medicare Medical Policies - November 2024
 - 24-1210m Annual Medical Records Collection begins January 2, 2025
 - 24-1160 No-Cost Interpreter Services Available 24/7 for Your Patients (PDF)
 - 24-1130m 2025 Non-formulary Drug Alternatives
 - 24-1222 State of Emergency: Mountain Fire in Ventura County
 - 24-1188 Streamline Your Provider Portal Operations with Availity Essentials™
 - 24-1015m Medication Formulary Changes – 4th Quarter 2024
 - 24-965m Want Healthy Patients? Recommend the Flu Vaccine
 - 24-1050m: No-Cost Accredited Suicide Prevention Provider Training
 - 24-944m: Optimize Paper Claims
 - 24-1021: State of Emergency: Bridge and Airport Fires in Four Southern California Counties
 - 24-959m Improve Members’ Experience with Care Coordination
 - 24-986 State of Emergency: San Bernardino Fire
 - 24-975 State of Emergency: Land Movement
 - 24-934m Stay Compliant By Reviewing the Changes to Medical Policies for Medicare
 - 24-892 Network-Contract for LMFTs-LPCCs
 - 24-826 Let Us Know If You Offer Same-day Scheduling!
 - 24-629m Extended-Days Supply Prescription
 - 24-783m 2024 Medicare Mammogram Facility Incentive Program
 - 24-675m Save the Date Summer 2024
 - 24-803 Medical Medication PA Updates
 - 24-635m Tip Guide Helps Improve Patient's Health and Health Outcomes Survey Measures
 - 24-656m Be Ready for the 2024 Provider Appointment Availability, After-Hours & Phone Surveys
 - 24-660m HEDIS® Supplemental Deadline Notice
 - 24-685 State of Emergency Winter Storm Recovery Efforts
 - 24-545 Prior Authorization Extensions for All Services, Including DME, Ends June 30, 2024
 - 24-475 Follow CMS Requirements for the Plan and IPAs to Notify Members of Provider Terminations
 - 24-549 Medicare PA Update for CPT PLA and Cat III Codes Effective July 1, 2024
 - 24-501m Support Nurse Practitioners and Physician Assistants in Expanding Access to Care
 - 24-477m Medicare Prior Authorization Changes for Part B Medications
 - 24-243m Improve Patient Satisfaction with Advanced Access
 - Billing Professional HCFA1500 Ambulance Paper Claims to Wellcare
 - 24-351 Reproductive Privacy & Protections
 - 24-342 Peer-to-Peer Review Request Guidelines
 - 24-339m Complete the Special Needs Plan Model of Care Training
 - 24-282m Join Us for a Webinar on 2024 Medicare Risk Adjustment Model Changes
 - 24-276m Medical Policies – February 2024
 - 24-304 Update to State of Emergency: Winter Storms- to Include 11 More Counties
 - 24-255m Use These Vendors for Supplemental Benefits
 - 24-279 The DMHC Encourages Flexibility After Cyberattack on Change Healthcare
 - 24-271 CAHPS Annual Member Survey
 - 24-260 Availity to Host Live Training Webinars for Providers
 - 24-246 Change Healthcare Cybersecurity Incident and its Impact to Wellcare
 - 24-185 New Web Page for Medicare Medical Policies
 - 24-007m Keep Patients Healthy with Flu Vaccine Recommendations
 - 24-157 Provider Communications and Operations Manual Updates for January 2024
 - 24-182 State of Emergency: Winter Storms in 13 Counties
 - 24-115m Stay Informed With the Winter 2024 Wellcare Provider Pulse Newsletter
 - 24-107m Find Out What Changed: AB 1369 Expands Access to Care for Eligible Patients via Telehealth
 - 24-126 State of Emergency Due to Intense Rainfall in San Diego and Ventura Counties
 - 24-064 MMR Report Error