Medicare AdvantagePrior AuthMedium impact
22-979 Stay Informed with Issue 4 of the 2022 Wellcare By Health Net Provider
Health Net·CA · Wound Care, Family Medicine, Internal Medicine +4 more·Prior Authorization
We identified it
Jun 20, 2026
Summary
Wellcare By Health Net announced that wound care services with visit limits now require prior authorization. This is part of their latest provider newsletter highlighting operational updates and quality initiatives.
Action Required
Contact Provider Services Center at 800-929-9224 within 60 days if questions arise. Billing team should obtain prior authorization for wound care services that have visit limits before scheduling or providing services. Update scheduling system to flag wound care appointments for prior auth verification.