Centene To Waive Prior Authorization For Select Outpatient Services Starting November 2026

Centene Corporation announced on October 13, 2026, that it will launch a nationwide Gold Card program in November 2026 for more than 160,000 qualifying health care providers. The invitation-only program will remove prior authorization requirements for select outpatient services, allowing participating provider organizations to submit a pre-notification instead of requesting approval before delivering eligible care.

Provider organizations qualify based on their past performance, including prior authorization approval history, documentation quality, compliance with medical policies, and applicable regulatory requirements. Those who do not initially qualify will continue using the standard review process but may become eligible in the . . .