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Provider Alert

Utilization Management Alert: Notification Prior Authorization (PA) Requests

Issued: June 28, 2023 To ensure accuracy and efficiency in processing authorizations, Partners will require providers to submit prior authorization requests for pass-through units in ProAuth beginning July 1, 2023. What is happening?  Pass-through authorizations will no longer be approved automatically in ProAuth for the following services: Service Description Funding Source Adult Facility Based Crisis

Provider Alert: Invoices for Non-UCR Federal and State Allocations Due June 5

Issued: June 2, 2023 This is a reminder that invoices for Non-UCR Federal and State Allocations are due Monday, June 5. What is happening? Providers must submit invoices for all State Funded Reimbursement through the invoice process by the following dates:  Invoices for State Allocations are due by Monday, June 5 Invoices for Federal Allocations