Skip to main content

APTA, in collaboration with fellow rehabilitation associations, sent a letter and subsequently met with representatives from UnitedHealthcare in September and October to share concerns related to the administrative burden created by resuming prior authorization requirements for follow-up visits as of Sept. 1. Despite APTA’s request to remove or ease the requirements, UHC has responded that it intends to keep the prior authorization requirement in place.

APTA reported on the details of these plans earlier, which impact outpatient services for many beneficiaries covered by UHC Medicare Advantage plan, Optum Healthcare Solutions MA plan, and UHC’s Community Health plan by expanding prior authorization requirements for follow-up visits when physical therapist services are provided in outpatient clinic and outpatient hospital settings.

Log in or create a free account to keep reading.


Join APTA to get unlimited access to content.


You Might Also Like...

News

What to Consider Before Deciding to Participate in MIPS Cost Category

Mar 25, 2025

The participation deadline for the 2024 reporting year is March 31 — before performance feedback is available from CMS.

News

UHC Continues Refinement of Prior Authorization Policy

Mar 21, 2025

Process changes, such as more real-time information and a shortened form for fewer visits, are meant to allow PTs to treat patients quicker.

Statement

Medicare Physician Fee Schedule Cuts

Mar 18, 2025

A Statement from APTA President Kyle Covington, PT, DPT, PhD