Wellcare prior authorization fax numbers (2026)

Wellcare's prior authorization fax number for Part D prescription drug coverage determinations is 866-388-1767 for Medicare Advantage plans outside California and for Prescription Drug Plans, and 877-277-1809 for Medicare Advantage plans in California. The inpatient fax is 855-776-9464, and medical and behavioral health requests use separate numbers by state and request type, listed in the table.

What is the Wellcare prior authorization fax number?

Wellcare splits its prior authorization fax numbers by request type, so Part D drug requests, inpatient requests and medical requests each go to their own number. Part D coverage determinations go to 866-388-1767 (877-277-1809 for Medicare Advantage plans in California), and inpatient authorizations go to 855-776-9464. For medical requests in Texas, Wellcare's January 2026 quick reference guide prints 877-277-1805, while the 2026 Outpatient Authorization Request Form prints 877-894-2034.

Which Wellcare fax number goes with which plan or request?

Wellcare picks the fax number by plan, request type and state, and the table lists each number beside the Wellcare document that prints it. The Medicare Fax Lines table on the 2026 Outpatient Authorization Request Form is also printed on Wellcare's DME, Home Health, Hospice, Skilled Therapy, Surgery and Transportation request forms.

Wellcare prints two sets of medical fax numbers for the states that appear in both its quick reference guides and its Outpatient Authorization Request Form. The January 2026 guides print 877-277-1805 for Connecticut, Florida, Georgia, Illinois, Kentucky, New Jersey, New York and Texas, while the form's Medicare Fax Lines table prints a number for each of those states, such as 866-455-6529 for Connecticut. California's Part D fax is split the same way: Wellcare's national page lists 877-277-1809 for California plans, and its California guide prints 866-388-1767.

Use the number printed on the form you are sending, and confirm it on Wellcare's Medicare Providers page for the state when a guide and a form differ. That page has a state selector, and a state's page links that state's quick reference guide.

What do you send with a Wellcare prior authorization fax?

A Wellcare prior authorization fax carries Wellcare's request form for the service, and the form sets the number: the inpatient, transplant, delegated vendor and medical drug forms each print one fax line, and the outpatient forms print the Medicare Fax Lines table by state.

• Inpatient: the Inpatient Authorization Request Form (2026)
• Outpatient, DME, Home Health, Hospice, Skilled Therapy, Surgery and Transportation: the matching request form, each printing the Medicare Fax Lines table
• Transplant: the Transplant Authorization Request form (2022 copy)
• Delegated vendor point of service: the Delegated Vendor Point of Service (POS) Authorization Request (2022 copy)
• Drugs supplied by the physician or facility: the Medical Drug Authorization Request (2022 form)
• Part D drugs: the Part D prescription drug coverage determination request form

The 2022 copies are older than the 2026 forms, so the provider manual named in the footer is the check on their numbers.

How do you ask Wellcare for an urgent decision?

To get an urgent decision from Wellcare, the prescriber or physician indicates that waiting for a standard decision could seriously jeopardize the patient's life, health or ability to regain maximum function, the test Medicare Advantage and Part D plans apply to expedited requests. Wellcare's 2026 Medicare Advantage Provider Manual, named in the footer, sets out Wellcare's own steps for an expedited request.

The expedited prior authorization guide lays out the prescriber's statement, the urgent mark on a form and each Medicare program's decision clock.

Does Wellcare still accept faxed prior authorization requests?

Wellcare still prints fax routes on its 2026 forms: the 2026 Outpatient Authorization Request Form carries the Medicare Fax Lines table by state, and the 2026 Inpatient Authorization Request Form says "Please fax completed form to 1-855-776-9464." Wellcare's national coverage determination page lists the Part D fax numbers, and its Medicare Providers pages and 2026 Medicare Advantage Provider Manual, named in the footer, are the places to look for a route other than fax.

How do you fax Wellcare from a HIPAA fax account?

To fax Wellcare from a HIPAA fax account, a practice or pharmacy enters the number printed on the Wellcare form being sent and sends it from a browser or from email. Word, Excel and PowerPoint files, PDFs and phone photos go up as they are, a cover sheet is optional, and each fax Wellcare receives gets delivery proof for the request file. On a paid plan the practice faxes from its own number, and a faxed reply lands in a shared inbox where it can be assigned to the person who handles the request.

Before paying, anyone can read Fax Pigeon's full BAA at faxpigeon.com/baa; each plan includes it, signed at signup, along with unlimited people. On Fax Pigeon's pricing page, the Basic plan is $4.99 a month billed annually and covers 200 pages sent and received.

What if the Wellcare fax fails or the number changes?

Wellcare's January 2026 guides and its 2026 Outpatient Authorization Request Form print different medical numbers for the same state, so check any Wellcare fax missing its delivery proof against the form being sent and against the state's page on Wellcare's Medicare Providers site, named in the footer.

Some numbers on this page come from older documents. The transplant and delegated vendor forms are 2022 copies, the Medical Drug Authorization Request is a 2022 form, and the Arizona and Iowa pages link a January 2025 guide that prints 833-562-7172 as the medical fax. Other Medicare Advantage plans also split their numbers by request type, as Humana's prior authorization fax numbers show, so the number printed on the form being sent is the one to dial.

* Fax numbers verified October 23, 2026, on Wellcare's own Wellcare 2026 Medicare Advantage Provider Manual (https://www.wellcare.com/-/media/pdfs/na/provider/resources/na_medicare_advantage_provider_manual_2026_r.ashx) and Wellcare Medicare Providers (state selector) (https://www.wellcare.com/en/Providers).