RSNAT PA Model Operational Changes Regarding Expedited Requests and Review Timeframes

Related CR Release Date: January 9, 2025
Effective Date: January 9, 2025
Implementation Date: September 6, 2024
Related Change Request (CR) Number: CR 13711
Related CR Transmittal Number: R12829OTN

CR 13711 instructs the A/B Medicare Administrative Contractors (MACs) and the Railroad Retirement Board Specialty Medicare Administrative Contractor (RRB-SMAC) to remove the option to request an expedited Prior Authorization (PA) review and to change the PA review timeframe from 10 business days to seven (7) calendar days under the Repetitive, Scheduled Non-Emergent Ambulance Transport (RSNAT) PA Model.

Make sure your billing staff knows about these changes.

View the complete CMS Change Request (CR)13711.

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