Effective March 1, 2023: New Century Health Prior Authorization Requirements
Date: 02/02/23
Trillium Community Health Plan (Trillium), Wellcare By Trillium Advantage, Wellcare By Health Net, and Health Net Health Plan of Oregon, Inc. (Health Net) are pleased to announce a collaboration with New Century Health (NCH), an oncology quality management company, to implement a new prior authorization program.
The purpose of this communication is to share the prior authorization requirements for the New Century Health program for our Oregon plans: Trillium Community Health Plan (Medicaid/OHP), Wellcare By Trillium Advantage, Health Net (Commercial Product), and Wellcare By Health Net.
View this notice to see key changes to prior authorization requirements. Note: This is not a comprehensive list of services. This is a summary of changes or new codes. Please review each Plan’s website to confirm prior authorization requirements. If you have questions regarding the information contained in this update, please contact the applicable Plan Provider Services Center:
- Trillium Community Health Plan (Medicaid/OHP) trilliumohp.com/providers/preauth-check/medicaid-pre-auth; Provider Services 877-600-5472
- Wellcare By Trillium Advantage (Medicare) trilliumohp.com/providers/preauth-check/medicare-pre-auth; Provider Services 844-867-1156
- Wellcare By Health Net (Medicare) wellcare.healthnetoregon.com/for-providers/medicare-pre-auth; Provider Services 888-445-8913
- Health Net Commercial (EPO, POS, PPO, CC) commercial Pre-Authorization (healthnetoregon.com); Provider Services 888-802-7001
Thank you for your partnership in helping our members stay healthy.