Prior Authorization - JF Part A
Jurisdiction F - Medicare Part A
Alaska, Arizona, Idaho, Montana, North Dakota, Oregon, South Dakota, Utah, Washington, Wyoming
Alaska, Arizona, Idaho, Montana, North Dakota, Oregon, South Dakota, Utah, Washington, Wyoming
Beginning January 1, 2025, the new timeline for prior authorization decisions will go into effect. Standard prior authorization decisions timeframe from 10 business to now 7 calendar days from the date the prior authorization request is received. The timeframe for expedited requests remains 2 business days.
Prior Authorization for Certain Hospital Outpatient Department (OPD) Services - View outpatient department services that require prior authorization, the authorization process, how to submit a prior authorization request, the documentation requirements and coverage for the 8 services: blepharoplasty, botulinum toxin injections, panniculectomy, rhinoplasty, vein ablation, spinal cord neurostimulator, cervical fusion and facet joint intervention for pain management.
Determine which CPT/HCPCS codes require a Prior Authorization
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