Aetna
(This applies to FL, KC, KS, MO, and TX ONLY)
Aetna will continue to waive prior authorization through August 23, 2021 Aetna Waiver 7.30.2021 for Commercial and Medicare Advantage members. Notification is required within 48 hours of admission. Please see the waiver flyer for further direction the plan requests that you to follow.
Aetna Better Health of Florida
(This applies to FL ONLY)
Aetna will continue to waive prior authorization through August 31, 2021 Aetna Better Health Waiver 8.2021 for Medicaid members. Notification is required within 48 hours of admission. Please see the waiver flyer for further direction the plan requests that you to follow.
CarePlus
(This applies to FL ONLY)
CarePlus will waive prior authorization through August 31,2021 CarePlus Waiver 8.04.2021.
Please see the waiver flyer for further direction the plan wants you to follow. This only applies to in-network providers.
Florida Blue
(This applies to FL ONLY)
Florida Blue will waive prior authorization FL Blue Waiver 8.01.2021 for Commercial and Medicare Advantage members and notification is required for admission. Please see the waiver flyer for further direction the plan wants you to follow. This only applies to in-network providers.
Humana
(This applies to FL and TX ONLY)
Humana will waive prior authorization through August 31, 2021 Humana Waiver 8.04.2021 Humana TX Flyer 8.13.2021for Commercial, Medicaid and Medicare Advantage members. Notification is required for admission. Please see the waiver flyer for further direction the plan wants you to follow. This only applies to in-network providers.
Molina
(This applies to TX ONLY)
Molina will waive prior authorization through October 31, 2021 Molina Waiver 8.12.2021 for MMP, MA and Marketplace members. Notification is required for admission. Please see the waiver flyer for further direction the plan wants you to follow.
Simply
(This applies to FL ONLY)
Simply will now waive prior authorization Simply Medicaid Waiver 8.04.2021 for Medicaid members notification is required for admission. Please see the waiver flyer for further directions the plan wants you to follow.
Sunshine
(This applies to FL ONLY)
Sunshine will waive prior authorization through August 31, 2021 for specific hospital systems see the flyer here Centene Waiver 8.2021 for all lines of business. Notification is required for admission. Please see the waiver flyer for further direction the plan wants you to follow.
United Health
(This applies to FL ONLY)
UHC will continue to waive prior authorization through August 30, 2021 UHC Waiver 7.30.2021 for Medicare Advantage, Medicaid and Individual and Group Market health plan members notification is required for admission. Please see the waiver flyer for further directions the plan wants you to follow. This only applies to in-network providers.
Wellcare
(This applies to FL ONLY)
Wellcare will waive prior authorization through August 31, 2021 for specific hospital systems see the flyer here Centene Waiver 8.2021 for all lines of business. Notification is required for admission. Please see the waiver flyer for further direction the plan wants you to follow.
Wellmed
(This applies to FL and TX ONLY)
Wellmed will continue to follow UHC's waiver process and allow waiving prior authorization through August 30, 2021 UHC Waiver 7.30.2021 Wellmed TX flyer for Medicare Advantage, Medicaid and Individual and Group Market health plan members. Notification is required for admission. Please see the waiver flyer for further direction the plan wants you to follow. This only applies to in-network providers.
Medicaid - AHCA
(This applies to Florida ONLY)
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Reinstatement of Interfacility Transfer Prior Authorization Requirements effective July 1, 2021. Notice
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Reinstatement pf PASRR and Bed Hold requirements effective July 1,2021. Notice
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Florida Medicaid COVID-19 Flexibilities ended July 1, 2021. Notice
