Simplifying home health authorizations
Whenever possible, we aim to remove barriers for our providers. This is why we’re excited to share that we’ve simplified our home health authorization process, to reduce your administrative burden and ensure your patients, our members, get the care they need when they need it.
Past state
- Provider submits an initial home health authorization
- Provider submits new authorizations for extension requests, additional disciplines, additional visits etc.
Current state
- Provider submits an initial home health authorization
- Provider submits an extension request to the current, active authorization for any changes needed
What’s not changing?
The guidelines for requesting an authorization and the criteria used to review for medical necessity haven’t changed. All requests should still include clinical documentation to support the request.
Where to learn more
Refer to our Home Health authorization guide for details, including specific steps to take for extension requests, adding disciplines and visits and more.