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Provider Notices

Update to Previous Post: Prior Authorization Requirements

6/25/2021 3:22:13 PM

On  May 5, 2021 date we released the below notice. At this point in time 6/25/21, the below guidance is incorrect and prior requirements will remain unchanged until further notice . We apologize for any inconvenience this has caused.

Should you have any claims impacted betweens dates of service 6/6/21 - 6/25/21, please contact your Provider Service Representative.

 

Effective 6/6/2021, prior authorization requirements will be removed for the following services. If the maximum visits listed below are exceeded, a prior authorization is required.

As a reminder, prior authorizations are always required for out-of-network providers.

  • PT/OT/ST: 20 visits/calendar year
  • Alternative Services: 10 visits/calendar year

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