Oxford Health Plan Prior Authorization Update

Effective for dates of service on or after July 1, 2020, the Oxford Health Plan will experience changes in their advance notification and prior authorization requirements.

Although prior authorization requirements are being removed for certain codes, post-service determinations may still be applicable based on criteria published in medical policies, local/national coverage determination criteria, reimbursement policies and/or state fee schedule coverage.

You can see the following CPT codes that will NOT require prior authorization here.