Back to Insights and Updates for ProvidersApril 2024

Extension of authorization waiver for admission to MA sub-acute and rehab facilities

All products

In our February newsletter, Point32Health announced that we were waiving prior authorizations for admissions from acute care hospitals to Massachusetts sub-acute care facilities and rehabilitation facilities for all applicable Harvard Pilgrim Health Care and Tufts Health Plan products (Commercial, Medicare Advantage/Senior Products, and Public Plans lines of business).

While the waiver was originally set to expire on April 1, 2024, we are extending the waiver until Aug. 1, 2024.

Point32Health instituted these temporary flexibilities to facilitate care coordination and expedite patient transitions to the proper care setting amid the severe capacity challenges impacting the Massachusetts health care system. This decision was made in support of guidance from the Massachusetts Executive Office of Health and Human Services (EOHHS) and the Massachusetts Association of Health Plans.

You can read about the steps Point32Health is taking, as well as some responsibilities on the part of facilities in our network, in greater detail on the MA prior authorization waiver page on our Point32Health provider website.

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