No auth needed for speech therapy for Medicare HMO Blue members
January 17, 2025
This article is for physicians and clinicians who refer members for speech therapy services, and speech therapists
Please share with your authorization departmentWe’d like to remind you that effective February 1, 2025, we are removing the prior authorization requirement for speech therapy services for our Medicare Advantage HMO members who receive care from in-network providers. (We do not require speech therapy authorization for commercial and Medicare Advantage PPO members.)
This change supports our efforts to reduce the administrative burden for our network providers. Members continue to need authorization when using out-of-network providers. Below are the codes and services that will no longer require prior authorization.
Resources
- News Alert. To read our December 2, 2024 notification about the removal of this authorization requirement, log in and go to News. Sort by date to find December 2, 2024, and you’ll see this headline, “Medicare HMO Blue members will no longer require auth for speech therapy.”
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