Skip to main content

Updates to Prior Authorization Requirements

January 6, 2022

Dear Valued Provider,

Wellcare has an important update to share with you.

Beginning March 1, 2022, there will be changes to the authorization requirements for services you may order or render for our members. These authorization changes may include services performed by the following vendor(s):

  • Turning Point (Orthopedic Surgery and Spinal Surgery)

On March 1, 2022, Wellcare Health Plans, Inc. will be making updates to reflect these changes on the authorization lookup tool at www.wellcare.com/auth_lookup. Prior authorization requirements are subject to periodic changes. You should always use our website’s authorization page to determine whether a procedure code requires prior authorization, and always check eligibility and confirm benefits before rendering services to members. Failure to do so may result in denial of reimbursement. 

For questions regarding this notice, please refer to the Quick Reference Guide. For additional assistance, please contact the Provider Services Dept. The phone number is located in the Quick Reference Guide. When prompted, say “Authorizations” or press 2, for assistance.

Thank you for your continued participation and cooperation in our ongoing efforts to provide quality healthcare to our members.

Sincerely,

Wellcare Health Plans

 

Contact Us icon

Need help? We're here for you.

Contact Us
Y0020_WCM_87476E Last Updated On: 11/17/2022
On April 22, 2024, UnitedHealth Group issued a press release, providing an update on the Change Healthcare cybersecurity incident that occurred on Feb. 21, 2024. Given the size of the data impacted, the investigation to determine whose data is impacted is expected to take several months. UnitedHealth Group believes this situation will impact “a substantial proportion of people in America” and is offering immediate credit monitoring and identity protection services, as well as a dedicated contact center to address questions. Visit Change Healthcare Cyberattack Support and/or reach out to the contact center at 1-866-262-5342 regarding any questions.

×