Eligibility Verification

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 & Wellnesss Online IVR system by calling toll free 1-877-658-0305