21-812 Use Acccess2Care for Medicare Members

Date: 11/12/21

This information applies to Physicians, Participating Physician Groups (PPGs), Hospitals, and Ancillary providers.

New transportation vendor starts January 1, 2022

Access2Care™ is the new contracted provider for Wellcare By Health Net (Health Net) Medicare members’ transportation needs, effective January 1, 2022.

See the table on below with plan type, covered services and contact information.

Which benefits are included

• All supplemental transportation benefits.

The arrangement with Access2Care also includes shared-risk Medicare members who have:

• Standard transportation benefits only (ambulance and stretcher van transports).

How financial risk works for standard transportation

Participating physician groups (PPGs) or hospitals who have risk for standard transportation as described in the Division of Financial Responsibility (DOFR):

• Must arrange for standard transportation in a timely manner with their own contracted provider.
• If the PPG or hospital does not arrange for standard transportation, Wellcare By Health Net will approve and arrange transportation. A capitation payment deduction from the responsible party will be processed.

Wellcare By Health Net is responsible for all supplemental transportation benefits, which will be arranged and provided by Access2Care.

Please note: ModivCare™ will continue to provide transportation services for Cal MediConnect, Commercial and Medi-Cal members.

Contact Access2Care to arrange transportation

Plan	Covered services	Contact number
Plans with the supplemental transportation benefit include: Wellcare No Premium Wellcare Specialty No Premium Wellcare Dual Liberty Wellcare Plus Sapphire I Wellcare Plus Sapphire II Wellcare Dual Liberty Amber Wellcare No Premium Ruby Wellcare Assist Call 48 hours in advance.	Ambulatory (rideshare, taxi van/sedan) Wheelchair equipped vehicle (also known as “Para Lift” or “Ambulette”) Public transportation (voluntary) Mileage reimbursement Stretcher van Bariatric	844-515-6876 Provider will give the member a card with the transportation provider’s contact information. Member will call the transportation provider to request a return trip.
Wellcare By Health Net (non-supplemental transportation benefit)	Stretcher van Ambulance	844-515-6876

Hours of operation

Access2Care's business hours for scheduled routine reservations are Monday through Friday, 8 a.m. to 8 p.m. Pacific time. Transportation services require at least 48 hours' advance notice. Access2Care is available 24 hours a day, seven days a week to schedule trips for both urgent care needs and immediate transportation needs.

Additional information

If you have questions regarding the information contained in this update, contact the applicable Health Net Provider Services Center within 60 days at:

Line of Business	Telephone Number	Provider Portal	Email Address
EnhancedCare PPO (IFP)	1-844-463-8188	provider portal	provider_services@healthnet.com
EnhancedCare PPO (SBG)	1-844-463-8188	provider portal	provider_services@healthnet.com
Health Net Employer Group HMO, POS, HSP, PPO, & EPO	1-800-641-7761	provider portal	provider_services@healthnet.com
IFP (CommunityCare HMO, PPO, PureCare HSP, PureCare One EPO)	1-888-926-2164	provider portal	provider_services@healthnet.com
Medicare (individual)	1-800-929-9224	provider portal	provider_services@healthnet.com
Medicare (employer group)	1-800-929-9224	provider portal	provider_services@healthnet.com
Medi-Cal	1-800-675-6110	provider portal	N/A
Cal Mediconnect – Los Angeles County	1-855-464-3571	N/A	provider_services@healthnet.com
Cal Mediconnect – San Diego County	1-855-464-3572	N/A	provider_services@healthnet.com