WellCareMedium ImpactPrior Auth
[Texas] Important Prior Authorization Updates: Effective April 1, 2026 (PDF)
Published May 2, 2026Effective April 1, 2026
AI Summary
WellCare is implementing prior authorization updates effective April 1, 2026 for Texas providers. This is a fresh policy requiring immediate attention from billing teams to prepare for upcoming changes.
Action Required
Before April 1, 2026: Billing team must download and review the complete prior authorization change list PDF from WellCare's Texas provider portal. Update billing system workflows and encounter forms based on new prior authorization requirements detailed in the full document. Notify providers of any services requiring new prior authorizations to prevent claim denials.
Plan Types
Medicare Advantage, Medicaid
States
TX
Specialties
all-specialties