Please pay close attention to the waiver details.
Aetna
(This applies to ALL states - National waiver)
Aetna will continue to waive prior authorization through February 28, 2022 for Commercial and Medicare Advantage members notification is required within 48 hours of admission. Please see the waiver flyer for further direction the plan requests you to follow.
Aetna Better Health of Florida
(This applies to Florida ONLY)
Aetna will continue to waive prior authorization for Medicaid members. Notification is required within 48 hours of admission. Please see the waiver flyer for further direction the plan requests that you to follow. Aetna will provide 14 days’ notice prior to the waiver ending.
Centene - Sunshine & Wellcare
(This applies to Florida ONLY)
Centene will waive prior authorization for Sunshine and Wellcare members only for Medicare and Medicaid lines of business. No end date at this time. Notification is required for admission. Please see the waiver flyer for further direction the plan requests you to follow.
Cigna and Cigna HealthSprings
(This applies to ALL states)
Cigna will waive prior authorization for Medicare Advantage and Commercial members through March 31, 2022. Notification is required within 1 day of admission. Please see the waiver flyer for further direction the plan requests that you to follow. Please note that routine and non-emergent transfers to SNF, AR, and LTACH continue to require precertification, and if a hospital is not at capacity and requiring the need to free up bed space for COVID-19, all of these transfers still require precertification.
CMS 1135 Waiver
Health First
(This applies to Florida ONLY)
Health First will waive prior authorization for Skilled Nursing Facility's through February 18, 2022. This only applies to transfer to in-network SNF providers. Out-of-network transfers will follow standard authorization process follow.
Humana
(This applies to CO, IN, and MI states ONLY)
Humana will waive prior authorization. See specific state flyer for end date for Commercial, and Medicare Advantage members. Notification is required for admission. Please see the waiver flyer for further direction the plan wants you to follow. This only applies to in-network providers.
Simply
(This applies to Florida ONLY)
Simply will now waive prior authorization for Medicaid members until February 11, 2022. Notification is required for admission. Please see the waiver flyer for further directions the plan wants you to follow.
United Healthcare
(This applies to South Carolina ONLY)
UHC will continue to waive prior authorization through February 18, 2022 for Medicare Advantage, Medicaid and Individual and Group Market health plan members notification is required for admission. Please see the waiver flyer for further directions the plan wants you to follow. This only applies to in-network providers.
Medicaid - AHCA
(This applies to Florida ONLY)
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Reinstatement of Interfacility Transfer Prior Authorization Requirements effective July 1, 2021. Notice
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Reinstatement pf PASRR and Bed Hold requirements effective July 1,2021. Notice
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Florida Medicaid COVID-19 Flexibilities ended July 1, 2021. Notice
