UnitedHealthcare Therapy Authorization Requirements
UnitedHealthcare’s new policy regarding referrals for speech, occupational and physical therapy evaluations and re-evaluations went into effect September 1. The member’s primary care provider or referring specialist, rather than the treating therapist, must now initiate the prior authorization request. Therapists will initiate the prior authorization requests for treatment visits. Details of the new policy are in their July Network Bulletin. Since this publication was issued, the effective date was moved from August 1 to September 1, 2019.
Please note that Nationwide Children’s Hospital has initiated discussions with UnitedHealthcare regarding the implications of this policy on pediatric patients. While these discussions are underway, Nationwide Children’s Clinical Therapies Department will continue to accept referrals even if the pre-authorization request was denied.