Wellcare has partnered with New Century Health (NCH) to implement a new oncology prior authorization program, Oncology Pathway Solutions. Effective October 1, 2023, NCH will manage prior authorization requests for Medical Oncology and Radiation Oncology treatments provided in an outpatient setting. This includes all oncology-related chemotherapeutic drugs and supportive agents and radiation oncology treatments. This requirement applies to Medicare members 18 years of age and older.
Wellcare has also partnered with New Century Health (NCH) to implement a new cardiology prior authorization program, the Cardiology Management Program. This program is intended to help providers easily and effectively deliver quality patient care. Effective October 1, 2023, cardiology services rendered in a physician’s office, in an outpatient hospital ambulatory setting, or in an inpatient setting (planned professional services only) must be submitted to NCH for prior authorization. Approvals issued by Wellcare before October 1, 2023, are effective until the authorization end date, but all prior authorization requests needed after October 1, 2023, must be submitted to NCH. This requirement applies to all Medicare members ages 18 and older.
Prior authorization can be requested by:
- Visiting NCH’s Web portal at my.newcenturyhealth.com, or
- Calling 1-888-999-7713, Option 1 (Monday–Friday, 8 a.m.–8 p.m. EST)
A provider network specialist will contact you to schedule an introductory meeting and training. If you have any questions prior to the introductory meeting, please contact NCH at 1-888-999- 7713, Option 6 or email providertraining@newcenturyhealth.com. You can also self-register online at my.newcenturyhealth.com.
Sincerely,
Wellcare
