2026
- CMS Risk Score Policy Change
- A New Security Update is Coming Soon
- Medicare Discontinued Drugs and Formulary Alternatives (PDF)
2025
- Important Prior Authorization Updates: Effective April 1, 2026 (PDF)
- D-SNP Pre-Payment Edit Update for January 1, 2026
- Medicare Prior Authorization Requests transition from Evolent to Wellcare
- Important Prior Authorization updates: Effective October 15, 2025 (PDF)
- CMS Prior Authorization Change Summary: Effective 1/1/26
- Medicare Prior Authorization Change Summary: Effective 10/1/2025
- Wellcare is Introducing Upfront Claim Checks through Availity Editing Services
- Model of Care Training Required
- Coordination of Medicaid and Medicare Benefits for Dual Eligible Special Needs Plan (D-SNP) Members
- Notice of Changes by Medicare That May Affect Drug Coverage
- Medicare Prescription Payment Program
