Aetna
Aetna will continue to waive prior authorization through
July 30, 2020
for Commercial and Medicare Advantage members notification is required within 48 hours of admission.
AvMed
(This applies to Florida ONLY)
No information regarding changes to prior authorization and SNF stays at this time. Auth is still required.
BayCare
(This applies to Florida ONLY)
Effective
June 8, 2020
Baycare is now waiving authorization for both in and out of network providers.
CarePlus
(This applies to Florida ONLY)
CarePlus is resuming our standard prior authorization protocols for inpatient admissions effective
May 18, 2020
.
Cigna
Cigna will continue to allow emergent or urgent direct transfers to skilled nursing facilities, without prior authorization until
July 31, 2020 for both commercial and Medicare lines of business.
Florida Blue
(This applies to Florida ONLY)
Florida Blue
Medicare, Commercial, and Affordable Care Act
is waiving prior authorization requirements for patients being transferred from inpatient acute hospital settings to post-acute care facilities through
September 5, 2020
. P
lease see the attached for further details on notification to the plan.
Freedom Health & Optimum HealthCare
(This applies to Florida ONLY)
Freedom clarified saying this only applies when a hospital system has been
recognized as having a high volume of Covid-19 cases and bed availability is needed please note this is being handled on case by case.
Freedom is asking providers to continue with the ‘normal authorization process’ as best as you possibly can. They still have staff working during the day and after-hours, who can provide authorizations effective
April 6, 2020 for 90 days expiring July 5, 2020
.
Humana
Humana is suspending the prior authorization requirements for in-network providers. This applies to inpatient, outpatient, and all par referrals for all product lines offered by Humana. This continues to apply to both in-network and out-of network providers
when the member has a COVID-related diagnosis
notification of admission is highly recommended via Availity.
Medica
Medica will continue to waive prior authorization through
September 30, 2020.