Prior Authorization List
From: WelbeHealth
To: Health Plan Providers
Type: Informational
Subject: Prior Authorization List
Business PACE
State(s): California
Our Prior Authorization List has been updated to reflect changes that are effective August 01, 2025.
Some of the changes to the prior authorization list are:
- 10 hospice codes
- 17 COVID-19 testing codes when billed at POS 27, 81, 82–89, or 99
- 163 wound care codes
- 6 in-office injection (J) codes
- 40 dental imaging codes
As a reminder….
WelbeHealth has a subset of services that require prior authorization. If a service being provided requires authorization, it must be obtained prior to services being rendered.
The prior authorization list can be found on our website https://welbehealth.com/partners/. Requests for prior authorization can be sent via:
Our provider portal (for contracted providers) https://welbehealth.quickcap.net/ or Fax (209) 729-5854.
If you have any questions, please contact your Provider Partnership Representative, or email the Provider Partnership team at providers@welbehealth.com. You may also visit https://welbehealth.com/partners. for online access to this document and all other WelbeHealth Provider Alerts
