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...

Article

APTA to CMS: It’s Time to Reduce Admin Burden and Simplify the Delivery of Care

Jun 16, 2025

The association has taken the lead on advocating for regulatory reforms and deregulation to improve the delivery of physical therapy.

Article

APTA Works With Congress to Address TRICARE Payment Issues

Jun 9, 2025

APTA is actively working with congressional leaders to address reports of remaining TRICARE payment and operational issues impacting physical therapy providers.

News

2025 APTA House of Delegates Motions Posted

Jun 3, 2025

APTA members can now access 48 motions that include seven proposed bylaws amendments that will be forwarded for consideration by the 2025 APTA House of