SMG ANNOUNCEMENTS

01/01/2026 

ADT Reports Change From Excel to CSV Format

Effective June 6, 2025, Wellcare will implement updates to provider admit, discharge and transfer (ADT) reports to help providers and improve the reporting data results. This change will enable physicians and other providers currently not receiving ADT reports to sign up and receive these reports in real time. ADT reports include inpatient (IP)/emergency room (ER) and alternate contact information. Health Net posts the ADT IP/ER and alternate contact reports daily on Cozeva. The reports are also available through an SFTP site. If you have questions retrieving the reports off the SFTP or Cozeva sites, please contact your Plan provider engagement account executive or supervisory medical director. For any other questions, please contact 866-999-3945.  

01/01/2026

**Attention Providers with Central Health Plan**

Please access the 2026 MOC training using the link below:

https://www.centralhealthplan.com

1) From CHP website, click on Providers drop down arrow located on upper right-hand corner, and it will take you to Provider Resources.

2) In the Provider Resources tab click the arrow and a drop-down menu will appear. Scroll down to the 2026 Model of Care Training and review the presentation.

**Attention Providers with BlueShield**

Please access the SNP MOC training materials using the link below:

2026 Dual-Eligible Special Needs Plan Model of Care

Dual Special Needs Plan Model of Care | Blue Shield of CA Provider

**Attention Providers with Scan**

Please access the SNP MOC training materials using the link below:

https://www.scanhealthplan.com/providers/clinical-guidelines-and-practice-tools/snp-model-of-care-training

**Attention Providers with Molina** 

Please access the SNP MOC training materials using the link below:

Molina Medicare Model of Care

**Attention Providers with United Health Care**

Please access the SNP MOC training materials using the link below:

Complete the required MOC training | UHCprovider.com

**Attention Providers with Alignment**

Please access the SNP MOC training materials using the link below:

Special Needs Plan (SNP) Training for Providers | Alignment Health Plan 

03/24/2025

Please review the up-to-date U.S. Preventive Services Task Force A&B recommendation from the link below.

https://www.uspreventiveservicestaskforce.org/uspstf/recommendation-topics/uspstf-a-and-b-recommendations

09/01/2026 Attention Providers – Alcohol & Drug Screening/SBIRT Training

Provider Training: Alcohol & Drug Screening, Brief Intervention and Referral to Treatment (SBIRT)

EZ-Net

Provider Portal User Guide

Provider Manuals 

CA Provider Manual

UM

Seoul Medical Group Authorization Fax Form

County Medical Services Program Authorization Fax Form

CMS Requirements

Kindly upload medical records or provide a concise summary of the member's medical history when requesting any procedure-type services. This is a requirement mandated by CMS.

Seoul Medical Group-Peer to Peer

If the treating physician would like to discuss this case with a Medical Director, David Sohn, M.D. or Chris Choi, M.D., or another qualified healthcare professional reviewer, please call (562) 766-2000 or contact the UM Nurse directly at the telephone number provided on the Peer-to-Peer fax sheet.

A copy of the criteria used to make this decision is also available upon request.