Authorization Required for Outpatient Services—Implementation Rescheduled for May 1

We previously announced that, effective April 1, 2023, we would no longer require an authorization for the first 15 visits for outpatient physical therapy (PT), occupational therapy (OT), and speech therapy (ST) for MAPD and DSNP members.

This policy implementation has been rescheduled to May 1, 2023.

Providers should continue to request prior authorizations for all PT/OT/ST services by submitting an authorization request via fax, phone, or provider portal until further notice.

Note: original notification was provided in the fourth Quarter 2022 edition of providerNews.