CONTRACTAMENDED

DMS Retracts WellCare Therapy Prior Authorization Approval

Kentucky Department for Medicaid Services | Commonwealth of Kentucky logoKentucky Department for Medicaid Services | Commonwealth of Kentucky
Document date
Apr 2, 2026

The 30-second brief

What it covers

The Kentucky Department for Medicaid Services retracted its prior approval allowing WellCare MCO to require prior authorization for certain outpatient therapy services. DMS cited the H0004 prolonged therapy code's inability to be reasonably anticipated in advance.

Who holds it

Wellcare Mco holds this contract with Kentucky Department for Medicaid Services | Commonwealth of Kentucky.

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Contract details

Document date
April 2, 2026
Source document
Kentucky Cabinet for Health and Family Services Minutes Kentucky Medicaid Advisory Council (MAC) April Meeting Minutes 2026-04-02 (Minutes)

More Kentucky Department for Medicaid Services | Commonwealth of Kentucky contracts

Questions about this contract

Who was awarded the government contract by Kentucky Department for Medicaid Services | Commonwealth of Kentucky?

Wellcare Mco was awarded this government contract by Kentucky Department for Medicaid Services | Commonwealth of Kentucky, as recorded on April 2, 2026.

What type of contract is this?

This is a government contract, documented as a minutes record.

Where was this contract approved?

This contract appears in Kentucky Cabinet for Health and Family Services Minutes Kentucky Medicaid Advisory Council (MAC) April Meeting Minutes 2026-04-02 (Minutes), dated April 2, 2026 from Kentucky Department for Medicaid Services | Commonwealth of Kentucky. Civic IQ extracts contract records directly from agency meeting documents and solicitations.

What other contracts does Wellcare Mco hold?

Wellcare Mco may hold additional government contracts. View their full contract history, the agencies they serve, and total tracked spend on their Civic IQ vendor profile.

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Explore Kentucky Department for Medicaid Services | Commonwealth of Kentucky's vendors, signed contracts, and active RFPs on their Civic IQ agency profile.

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