Aetna
Aetna is resuming our standard prior authorization protocols for inpatient admissions effective
May 29, 2020.
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 is resuming our standard prior authorization protocols for inpatient admissions effective
June 30th, 2020.
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 resuming our standard prior authorization protocols for inpatient admissions effective
May 22, 2020
.
Medica
Medica will continue to waive prior authorization through
September 30, 2020.