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COVID-19 Waivers In Effect Until 2/28/2022

Date: 02/24/22

Inpatient Admissions: We will allow notification of admission up to five (5) days post admission date and complete medical necessity reviews when notification is received.

Post-Acute Accommodations for rehab hospitals and Long Term Acute Care hospitals (LTACH):

We will relax our requirements related to facility transfers including:

  1. We will not require discharging acute care facilities to obtain prior authorization for patient transfers to participating post-acute facilities. 
  2. We will not require sending facilities to provide notification of transfer to participating providers. 
  3. However, we will require receiving facilities to notify the health plan of patient admission. And we will accept notification up to five (5) days post-transfer.
  4. We will continue to conduct medical necessity review.

Skilled Nursing Facilities: We will allow post admission notification and authorize up to a seven (7) day stay before medical necessity continued stay review.