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Authorization Lookup

Please select your line of business and enter a CPT to lookup authorization for services. This tool is for general information only. It does not take into consideration a specific member or contract agreement.

WellCare providers are advised to use the Secure Provider Portal. This takes into consideration all factors, including the specific member, in order to determine whether prior authorization is required for certain services and procedures.

To get started, log in here and select “Create New Authorization” from the Care Management tab. Please find additional guides on submitting and checking authorization requirements in the resources section below.

Provider Resources

Hawai‘i QUEST Integration Quick Reference Guide

Hawai‘i Community Care Services Quick Reference Guide

'Ohana Health Plan Medicare Quick Reference Guide

The portal is your best, fastest and most reliable way to submit an auth request. The portal allows you to skip the fax machine and get your request directly to the clinical team to process your request

How to Submit an Authorization

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Last Updated On: 4/10/2023
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.

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