There isn’t a specific form your healthcare professional needs to fill out to request prior authorization. They can submit their request directly to Medicare by fax or mail, through the ...

The Government Accountability Office May 29 released a report recommending the Centers for Medicare & Medicaid Services ...

Medicare Advantage prior authorization (PA ... ask your health plan how to complete the form and loop in your care provider for the details you’ll need. How Does an Insurer Make Prior ...

A bipartisan bill introduced in the Senate and House aims to streamline the prior approval process for care for Medicare Advantage enrollees.

Legislation to streamline and improve outdated prior authorization processes for Medicare Advantage (MA) was reintroduced this week. The Improving ...

On Wednesday, a slew of bipartisan lawmakers reintroduced a bill that would overhaul the prior authorization process for seniors enrolled in Medicare ...

As the existing Final Rule from the Centers for Medicare and Medicaid Services (CMS) already outlines, the transition to electronic prior authorization (ePA) systems will occur in stages ...

US Sen. Mazie Hirono has announced she is backing bipartisan legislation aimed at improving access to medical care for ...

If a person’s Medicare plan requires prior authorization, their doctor will typically take responsibility for submitting the request. A person may need to complete certain forms beforehand.

Prior authorization is the process through which a doctor seeks approval from a person’s health insurance plan before ordering a specific medication or medical service. Original Medicare (parts ...