February 17, 2022

New Medicare Advantage prior authorization requirement resources available

Effective Feb. 1, 2022, UnitedHealthcare requires prior authorization for physical therapy (PT), occupational therapy (OT) and speech therapy (ST) services delivered at multi-disciplinary offices and outpatient hospital settings. This applies to Arkansas, Georgia, New Jersey and South Carolina. These authorization requirements apply to patients new to therapy and those who are currently receiving therapy.

Read the November 2021 Network News article for details.

For additional information, please review the newly posted FAQ or review the MBMNow User Guide.

You'll find information including, but not limited to:

  • How to request a prior authorization
  • Prior authorization tool details
  • Correct coding practices
  • Claims impact
  • UnitedHealthcare Provider Portal access

Please contact Provider Services at 866-416-6594 if you have any questions.