Medicare AdvantagePrior AuthHigh impact
[Florida] Important Prior Authorization updates: Effective October 15, 2025 (PDF)
WellCare·FL·Provider Bulletin
Effective date
Oct 15, 2025
We identified it
May 2, 2026
Summary
WellCare Florida has issued important prior authorization updates effective October 15, 2025. This fresh policy change will likely modify PA requirements for various services and procedures covered under WellCare plans in Florida.
Action Required
By October 15, 2025: Billing team must download and review the updated prior authorization policy from WellCare Florida. Update billing system PA requirements based on new guidelines. Train staff on revised PA procedures for WellCare Florida members. Verify PA requirements before scheduling affected services to prevent claim denials.