Home Health Care News March 4, 2025
UnitedHealthcare is eliminating prior authorization requirements for certain home health services provided under Medicare Advantage plans as part of a larger push to cut prior authorization volume by 10% this year.
Effective April 1, 2025, the insurance giant—part of UnitedHealth Group (NYSE: UHG)—will no longer require prior authorization or concurrent review processes for home health services managed by Home & Community, which formerly was known as NaviHealth, according to a March 1 website post.
The change applies to Medicare Advantage and Dual Special Needs Plans (D-SNPs) across 36 states and Washington, D.C.
Home health services still must be provided according to coverage guidelines set by the Centers for Medicare & Medicaid Services after April 1, the website post stated.
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