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Medicare AdvantagePrior AuthMedium impact

[Georgia] Important Prior Authorization Updates: Effective April 1, 2026 (PDF)

WellCare·GA·Provider Bulletin
Effective date
Apr 1, 2026
We identified it
May 2, 2026
Days to comply

Summary

WellCare is implementing prior authorization changes effective April 1, 2026 for Georgia providers. This is a fresh policy update that will modify current prior auth requirements, though specific details require reviewing the full PDF document.

Action Required

Action needed
By March 31, 2026: Billing team must download and review the full prior authorization change list from WellCare's provider portal. Update billing system with new prior auth requirements for affected services. Train staff on revised prior authorization workflows to avoid claim denials starting April 1, 2026.