- Program launches November 2026
- Initially covers over 160,000 providers for select outpatient services
- Eligibility based on approval history, documentation quality, compliance with medical policy, and regulatory requirements
- Program developed from anonymous provider feedback across 24 states
- Centene intends to expand to other service types and additional providers over time
- Centene announced it will launch a National Performance-Based Gold Card Program in November 2026. The program initially covers over 160,000 qualifying providers for select outpatient services, streamlining prior authorization for those with strong compliance and approval histories. Eligibility is based on objective performance measures including approval history, documentation quality, compliance with medical policy, and regulatory requirements. The program was developed from anonymous provider feedback across 24 states. Centene intends to expand to other service types and additional providers over time.
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