Medicare AdvantagePrior AuthMedium impact
[Texas] Important Prior Authorization Updates Effective January 1, 2026 (PDF)
WellCare·TX·Provider Bulletin
Effective date
Jan 1, 2026
We identified it
May 2, 2026
Summary
WellCare is implementing important prior authorization updates effective January 1, 2026. This is a fresh policy update that likely affects authorization requirements for covered services, though specific details require reviewing the full PDF document.
Action Required
By December 31, 2025: Billing team must download and review the full prior authorization updates PDF from WellCare's provider portal. Update billing system and workflows based on new authorization requirements. Train staff on any new procedures to avoid claim denials starting January 1, 2026.