Please pay close attention to the waiver details, as waivers are coming to an end.
Aetna Better Health of Florida
(This applies to FL 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.
Florida Blue
(This applies to FL ONLY)
Florida Blue will now waive prior authorization through December 31, 2021 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.
Humana
(This applies to CO, IN, MI 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 FL ONLY)
Simply will now waive prior authorization for Medicaid members notification is required for admission. Please see the waiver flyer for further directions the plan wants you to follow.
United Health
(This applies to IN ONLY)
UHC will continue to waive prior authorization through January 7, 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