• To Report Fraud, Waste and Abuse
  • Call ECHP's Hotline: 866 678-8355

24 Hr Nurse Advice Hotline (800) 581-9952

Find a Doctor
Find a Doctor
Find a Hospital
Find a Hospital
Find a Pharmacy
Find a Pharmacy

Your Partner in Quality Care

At Easy Choice Health Plan, A WellCare Company, we value everything you do to deliver quality care to our members – your patients – to ensure they have a positive health care experience.  We offer a wide network of excellent physicians, IPAs, hospitals, pharmacies and other Health Care providers throughout Los Angeles, Orange, Riverside, and San Bernardino Counties in California.
 If you are interested in becoming a contracted provider with Easy Choice for the following services:

  • Hospital
  • Skill Nursing Facility
  • Ambulatory Surgery Center
  • Dialysis
  • Durable Medical Equipment
  • Home Health
  • Home Infusion

Please contact our Network Management Department at (714) 226-2800.
Primary Care and Specialist providers interested in serving Easy Choice members, please contact our No Imageaffiliated IPA partners [PDF, 214KB] to discuss your interest in becoming an Easy Choice provider.


Quick Links Forms and Documents We are in this together

California Quality Improvement Organization

Clinical Coverage Guidelines

Clinical Practice Guidelines

CMS Medicare Encounter Companion Guides


ECHP Provider and Pharmacy Directories

Online Member Eligibility Verification

Provider Newsletter

Quality Assurance

Special Needs Plan ("SNP") Resources

How to Update Provider Directory Information

No ImageCMS Appointment of Representative Form
[PDF, 72KB]

No ImageIPA Request for CM Form
[PDF, 407KB]

No ImageMedicare Post Pay Readmissions
[PDF, 192KB]

No ImageModel of Care Provider Training
[PDF, 1.53MB]

No ImageProvider Manual 2016 (Direct Contract)
[PDF, 1.33MB]

No Image Provider Manual 2017 (IPA, ANC, HOSP)
[PDF, 8.05MB]

No ImagePsychiatric Emergency Admissions
[PDF, 121KB]

No ImageWaiver of Liability Statement
[PDF, 293KB]

No ImageQuality Health Care:
[PDF, 121KB]
Providing best practices to improve patient satisfaction & healthier outcomes




Easy Choice Health Plan (HMO)
Attn.: Claims Department
P.O. Box 260519
Plano, TX 75026-0519





Medications Forms and Documents

Drug Formulary Search

Online Pharmacy Search Tool

Mail-Service Pharmacy

Medicare Prescription Drug Coverage
Determination(Online Form)

Prior Authorization

No ImageMail Service Rx Fax Order Form
[PDF, 186KB]

No ImageMedicare Part D Coverage Determination Request Form for Diazepam [PDF, 152KB]

No ImageMedicare Part D Coverage Determination Request Form for Estradiol [PDF, 151KB]

No ImageMedicare Part D Coverage Determination Request Form for Hydroxyzine [PDF, 151KB]

No ImageMedicare Part D Coverage Determination Request Form for Temazepam [PDF, 152KB]

No ImageMedicare Part D Coverage Determination Request Form for Zolpidem [PDF, 151KB]

No ImageMedicare Prescription Drug Coverage Determination Form
[PDF, 165KB]

No ImageMedication Review and Reconciliation Form
[PDF, 115KB]

No ImageProvider Quick Reference Guide
[PDF, 70KB]

No ImageRedetermination of Medicare Prescription Drug Denial Form [PDF, 181KB]

HEDIS Forms and Documents

No ImageAdult At A Glance Guide
[PDF, 793KB]

No ImageAdult Care of Older Adult Assessment Form
[PDF, 369KB]

No ImageAdult_Coordination_of_Care_Letter
[PDF, 357KB]

No ImageAdult Quick Tips Reference Guide
[PDF, 441KB]

No ImageAdult Resource Guide
[PDF, 726KB]

No ImageBehavioral Health 18 and Older At-A-Glance Guide
[PDF, 158KB]

No ImageBehavioral Health Resource Guide
[PDF, 529KB]

No ImageConsumer Assessment of Health Care Providers and Systems (CAHPS)
[PDF, 564KB]

No ImageHealth Outcomes Survey (HOS) For Medicare Members
[PDF, 2,221KB]

No ImageMedication Review Crucial to Member Health Outcomes
[PDF, 336KB]

No ImageStars At-A-Glance Guide
[PDF, 242KB]

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