We want to make providers aware of a change related to requests to extend an existing authorization for home care and hospice services for Harvard Pilgrim Health Care commercial members. Currently, if an extension request is approved, the authorization is updated with additional units and the end date is extended.
Effective for dates of service beginning Oct. 1, 2023, providers must request a new authorization for services that extend beyond the end date of the existing authorization. Each approved authorization for the patient will have its own authorization number.
The existing criteria for hospice and home care services is not affected. For more information, please refer to the Home Health Care and the Hospice and Palliative Care Services medical necessity guidelines.
Director, Provider Relations & Communications
Senior Manager, Provider Communications
Joseph O’Riordan, Susan Panos, Stephen Wong,