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Physical, Occupational, and Speech Therapy Preauthorization Process Change

Audience: Primary Care providers, and Physical, Occupational and Speech Therapists

We would like you to be aware that effective January 1, 2021, Univera Healthcare will require preauthorization for all physical, occupational and speech services requested for our members who have Medicaid Managed Care (MyHealthSM) and Health and Recovery Plan (HARP) (MyHealth PlusSM) coverage.

Also, beginning January 1, 2021, preauthorization requests for the following services and CPT codes must be made through our CareAdvance Provider® web portal for members who have coverage under one of the plans listed above: 

  • All physical therapy authorization requests (CPT 97164) 
  • All occupational therapy authorization requests (CPT 97168)
  • All speech therapy authorization requests (CPT 92507)

Additional visits must be requested through CareAdvance Provider using the same reference number.   
Refer to our CareAdvance Provider Navigation Guide located on our website under Resources, Staff Training, Presentations & Guidebooks for additional assistance using the online preauthorization tool.

Thank you for the quality care that you deliver to our valued members.
 

 
 
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Univera

Utilization Management