June 24, 2024
Time span for approved prior authorizations reverts back to three months post pandemic
During the COVID-19 pandemic, prior authorization time spans were extended to six months after the request was approved. Now that we are past the pandemic, the time span for all services including durable medical equipment (DME) requests will be for three months after approval, unless otherwise noted in an authorization letter. This change goes back to our standard approval time frame in place before COVID-19 and in accordance with your Provider Participation Agreement (PPA).
This is effective on July 1, 2024. Prior authorization requests received on or after July 1 and approved will be for the three months duration, unless noted otherwise in an authorization letter.
Additional information
Relevant sections of the Wellcare Provider Manual have been revised to reflect the information contained in this update as applicable. The manual is available online.
If you have questions regarding the information contained in this update, contact 1-866‑999‑3945.
This information applies to (add provider types) Physicians, Ancillary Providers, Independent Practice Associations.
