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New Century Health Oncology Prior Authorization List: Effective April 1, 2023

January 30, 2023

Wellcare has partnered with New Century Health (NCH) to implement a new oncology prior authorization program effective April 1, 2023: Oncology Pathway Solutions.

What is the Wellcare Oncology Pathway Solutions program?

The Wellcare Oncology Pathway Solutions program provides prior authorization management for infusible, injectable, and oral chemotherapy agents and supportive drugs — including symptom management drugs and radiation oncology. The program emphasizes and supports the selection of Preferred Pathways for patient care and is administered by NCH.

Download the Medical Oncology (PDF) procedure code list.

Download the Radiation Oncology (PDF) procedure code list.

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Y0020_WCM_100876E Last Updated On: 1/30/2023
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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