This article is for skilled nursing facilities, transitional care units, long-term acute care hospitals, rehabilitation hospitals, and acute care hospitals caring for our members
It’s important to submit all required clinical information when requesting authorization (initial precertification) for skilled nursing, transitional care unit, long-term acute care hospital, rehabilitation hospital, and acute care hospital services.
Missing or incomplete information requires us to follow up with your office. This results in delays to our medical necessity review, our response to your request, and ultimately the patient’s transition to the next level of care.
What to submit to ensure timely processing
To facilitate processing and avoid delays in determinations, you can either submit the authorization request via Authorization Manager, or complete and submit the Initial Precertification Form for SNF/Rehab/LTCH.
| If you submit by | Note |
|---|---|
| Authorization Manager |
|
| Completing the Initial Precertification Form for SNF/Rehab/LTCH |
|
Resources
MPC_022224-1J-15-ART