Skip to main content

APTA, in collaboration with fellow rehabilitation associations, sent a letter and subsequently met with representatives from UnitedHealthcare in September and October to share concerns related to the administrative burden created by resuming prior authorization requirements for follow-up visits as of Sept. 1. Despite APTA’s request to remove or ease the requirements, UHC has responded that it intends to keep the prior authorization requirement in place.

APTA reported on the details of these plans earlier, which impact outpatient services for many beneficiaries covered by UHC Medicare Advantage plan, Optum Healthcare Solutions MA plan, and UHC’s Community Health plan by expanding prior authorization requirements for follow-up visits when physical therapist services are provided in outpatient clinic and outpatient hospital settings.

Log in or create a free account to keep reading.


Join APTA to get unlimited access to content.


You Might Also Like...

Article

APTA Students Raise $2,000 and Awareness of PTPAC via Flash Action Strategy

Oct 8, 2024

This year’s PT and PTA student-led social media blitz focused on raising funds and awareness for PTPAC, APTA's political action committee.

News

States Affected by Helene Eligible for Temporary Regulatory Waivers

Oct 8, 2024

CMS is offering flexibility in some regulatory requirements as well as advance or accelerated payment to affected states.

Article

Catherine Worthingham Fellow Phil Tygiel Dies at 77

Oct 7, 2024

The clinician and advocate fought for direct access in Arizona.