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Medicaid Removes Prior Authorization Requirement During COVID-19

Monday, April 20, 2020   (0 Comments)
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Medicaid Illinois Provider Notice: Temporary Prior Authorization Requirement Changes Related to COVID-19 Public Health Emergency 4-6-2020

This notice informs providers of temporary changes in prior authorization requirements. The Department’s goal in implementing these changes is to reduce participant visits to providers, promote social distancing, reduce barriers to participant access to supplies and equipment, and ease the burden on DME providers and ordering providers during the COVID-19 public health emergency. The information applies to prior authorization requests and claims for participants covered under fee-for-service, HealthChoice Illinois managed care plans and the Medicare/Medicaid Alignment Initiative (MMAI) plans.

Effective March 1, 2020, until the termination date of the public health emergency, including any extensions, the Department will implement the following changes. Codes affected are attached.

- The Department will remove prior authorization for physical, occupational, and speech therapies.

See link fore more details.


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