Provider Bulletins
Medicaid
2026
- 05/06/26: Medicaid Prior Authorization Update: Effective July 1, 2026
- 05/01/26: Reminder: Access Toll-Free Fax Numbers
- 04/28/26: CPP 161: Respiratory Viral Panel Testing Policy Update
- 04/15/26: Notice of Updated or Retired Clinical Policies
- 03/30/26: Important Prior Authorization Updates: Effective July 1, 2026 (PDF)
- 02/27/26: Notice Regarding EPSDT Billing Requirements
- 02/17/26: Evolent Prior Authorization Updates: Effective April 1, 2026 (PDF)
- 02/05/26: Practice Location Enrollment Update for Participating Practitioners
- 02/04/26: Important Prior Authorization Updates: Effective April 1, 2026 (PDF)
- 01/21/26: Notice of Updated or Retired Clinical Policies
- Serving WellCare of Kentucky Enrollees Better by Speaking Their Language (PDF)
2025
- 12/26/25: Important Prior Authorization Updates: Effective February 1, 2026 (PDF)
- Notice of Updated or Retired Clinical Policies (PDF)
- 2025 Continuity of Care (CoC) Program
- Announcing partnership with Healthmap Solutions
- Best Practices to Address Disparities in Tobacco Cessation (PDF)
- Notice of Updated or Retired Clinical Policies- Effective 8/15/25 (PDF)
- Tobacco Cessation Benefits (PDF)
- Optum Provider Portal Upgrades (PDF)
- H2027 and H0038 Limits Policy
- Resumption of Utilization Management Policies for Behavioral Health Services
- WellCare of Kentucky Behavioral Health Pre-certification Phone Line
- Medicaid Prior Authorization Updates: Effective 07/01/2025
- Notice of Updated or Retired Clinical Policies - Effective 5/15/25 (PDF)
- Pharmacy Update: Q0138 and J0897
2024
- Therapeutic Behavioral Health (H2020): Same Day as Another Per Diem Service or Any Psychotherapy
- H2027 and H0038 Notification
- Same-Day Overlapping Services: Psychotherapy, Crisis, IOP
- WellCare transitions to Availity Essentials
- New Optional Supplemental Prior Authorization Form
- Health Alert: Pertussis Cases Confirmed (PDF)
- Medicaid Clinical Appeals and Grievance Mailing Address Change
- Non-Emergency Medical Transportation (NEMT) Physician Certification Statement
- MSK Provider Education Webinars