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Outpatient services for many Medicare Advantage patients are impacted, but UHC's Gold Card program could provide some relief.
(This article was updated on Dec. 4 from its initial publication on Aug. 19 to include additional clarifications and guidance from UHC.)
In disappointing moves that walk back needed reforms to burdensome prior authorization policies announced in August 2023, UnitedHealthcare has expanded prior authorization requirements within certain plans for follow-up PT visits when services are provided in office and outpatient hospital settings, effective Sept. 1.
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CMS Requests Accelerated Medicaid Provider Revalidations: What PTs Need to KnowApr 27, 2026
The Centers for Medicare & Medicaid Services has asked all state Medicaid agencies to conduct a "swift revalidation" of certain Medicaid providers identified
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APTA Advocacy Delivers: Legislation to Repeal MPPR Introduced in U.S. HouseApr 22, 2026
Continued advocacy from APTA, members, and partner organizations has led to the introduction of a bill that seeks to repeal the outdated policy known as
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APTA Breakdown of Proposed FY 2027 SNF and IRF Payment RulesApr 21, 2026
The Centers for Medicare & Medicaid Services has released its proposed fiscal year 2027 rules for skilled nursing facilities and inpatient rehabilitation
