Eligibility Verification

Important Update

Starting January 1, 2024, California Health & Wellness Plan will no longer serve Medi-Cal members. The information and resources provided on this webpage are applicable to services rendered on or before December 31, 2023.
 

If you are a provider in Amador, Calaveras, Imperial, Inyo, Mono, or Tuolumne counties, who is part of the Health Net provider network starting January 1, 2024, please visit Health Net for services rendered on or after January 1, 2024.

Providers are responsible for verifying eligibility every time a member is seen in the office. PCPs should also verify that a member is assigned to them.

Eligibility can be verified through:

  • The California Health & Wellness secure provider portal (note: Providers must be registered to access secure portal content)
  • The California Health & Wellness Online IVR system by calling toll free 1-877-658-0305