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25-1311: Urgent Action Needed: Close Critical Care Gaps Before Year End

Act now to protect patient health and achieve Continuity of Care goals

We are in the critical phase of the Continuity of Care (CoC) program. All essential clinical gaps must be closed by December 31. Every patient encounter matters—your actions today directly impact care quality and risk adjustment outcomes.

HEDIS is a nationally recognized set of performance standards used to evaluate the quality of care provided to health plan members.

Appointment agenda—focus on urgent priorities

  • Prioritize high-value clinical gaps 
    Address the most urgent gaps to deliver meaningful improvements in patient care. 
  • Maximize every patient interaction 
    Use each visit to resolve the most pressing care needs efficiently.
  • Document with precision  
    Ensure all records accurately reflect clinically confirmed conditions..

Why this matters

By focusing on these priorities, we can:

  • Improve patient outcomes. 
  • Elevate care standards. 
  • Guarantee accurate risk adjustment data capture

Thank you for your unwavering commitment to our Wellcare members. For questions or support, please contact Provider Engagement Director Erica Valdivia at Erica.Y.Valdivia@healthnet.com.

Need help? Contact us
If you have questions regarding the information contained in this update, contact 866-999-3945

This information applies to Physicians and Independent Practice Associations (IPAs).

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Y0020_WCM_178064E_M Last Updated On: 11/10/2025
Wellcare will be performing maintenance on Saturday, December 13th, from 6 P.M. EDT to 8 A.M. EDT the next day. You might not be able to access systems or fax during this time. We are sorry for any issues this may cause. Thank you for your patience. If you need assistance, contact us. ×