Notice of Changes to Prior Authorization Requirements - May 2021

New prior authorization requirements for providers may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.

 

Changes to Prior Authorization Requirements:

• Updates for specialty pharmacy are available*
• New prior authorization requirement: Kidney transplantation*
• Updated AIM rehabilitative program effective August 1, 2021 – Initial evaluations and site of service reviews*
• Reimbursement policy update: Claims requiring additional documentation – Facility*