- 2,117
I suspect to cut costs.
How do these changes differ from current UnitedHealthcare requirements? Beginning Sept. 1, 2024, UnitedHealthcare will expand its prior authorization process nationally,leveraging applicable LCDs as well as CMS Chapter 15 criteria and InterQual criteria, asappropriate, to render a medical necessity determination. Medical necessity reviews areconducted by licensed medical professionals including physical therapists, occupationaltherapists, speech-language pathologists and chiropractors. Current prior authorizationrequirements in Arkansas, Georgia, South Carolina and New Jersey for outpatient therapiescontinue as previously deployed and will now include Medicare-covered chiropractic services
How do these changes differ from current UnitedHealthcare requirements? Beginning Sept. 1, 2024, UnitedHealthcare will expand its prior authorization process nationally,leveraging applicable LCDs as well as CMS Chapter 15 criteria and InterQual criteria, asappropriate, to render a medical necessity determination. Medical necessity reviews areconducted by licensed medical professionals including physical therapists, occupationaltherapists, speech-language pathologists and chiropractors. Current prior authorizationrequirements in Arkansas, Georgia, South Carolina and New Jersey for outpatient therapiescontinue as previously deployed and will now include Medicare-covered chiropractic services
