Update: No prior authorization for some radiation therapy
Last modified: May 24, 2021
We previously announced in the March Network Bulletin that starting April 1, 2021, prior authorization for certain outpatient radiation therapies will be required for UnitedHealthcare commercial members, including:
UnitedHealthcare Plan of the River Valley, Inc.
UnitedHealthcare Insurance Company of the River Valley
UnitedHealthcare of the Mid-Atlantic, Inc.
MAHP Life and Health Insurance Company
Neighborhood Health Partners
All Savers (fractionation prior authorization requirement for All Savers will be delayed)
Rhode Island and Oxford Health Plan members will be excluded
Changing prior authorization requirements
We no longer require prior authorization reviews for the following 8 radiation therapy services procedure/CPT® codes.