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Updates to Prior Authorization Requirements: Effective March 1, 2022

Dear Valued Provider,

Wellcare has an important update to share with you.

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)

For Medicare and Medicaid, Wellcare Health Plans, Inc. will be making updates on March 1, 2022 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

 

 

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Last Updated On: 1/6/2022
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