View the latest updates to Medical Clinical Policies
2026
- CareCentrix Medical Necessity Review Criteria Change: Effective May 1, 2026
- Important Prior Authorization Updates: Effective April 1, 2026 (PDF)
- Evolent Prior Authorization Updates: Effective April 1, 2026 (PDF)
2025
- Medicare Telehealth Flexibilities for Wellcare Members through 2026
- 2025 Continuity of Care (CoC) Program
- CMS Prior Authorization Change: Effective January 1, 2026
- Important Prior Authorization updates: Effective October 15, 2025 (PDF)
- Medicare Prior Authorization Change Summary: Effective October 1, 2025
- Announcing Partnership with Healthmap Solutions
- Introducing Availity Editing Services
- Model of Care Training Required
- Optum Provider Portal Upgrades (PDF)
- Medicare Prior Authorization Change Summary: Effective 7/1/2025
- Notice of Changes by Medicare That May Affect Drug Coverage
