Inpatient elective surgeries and hospital admissions (April 6, 2020 - March 31, 2021)
AllWays Health Partners is suspending prior authorization review for inpatient scheduled surgeries or acute admissions at hospitals until March 31, 2021. The provider should notify us within 48 hours of admission and submit an update a minimum of every 5 days to support discharge planning. AllWays Health Partners retains the ability to conduct retrospective review.
Effective April 1, 2021, AllWays Health Partners prior authorization and notification requirements will resume for all Inpatient admissions except those related to Covid-19. For details, please refer to our COVID-19 state of emergency PA grid
Post-acute care (March 23, 2020 – Massachusetts state of emergency)
AllWays Health Partners is removing prior authorization requirements for post-acute care including: home health care, skilled nursing facility, in-patient acute rehabilitation at an acute rehab, long term acute care (LTAC), and chronic disease hospitals. However, you must notify AllWays Health Partners when a patient is admitted to an extended stay facility or receiving home health care within 48 hours of the admission.
Please submit notifications in the provider portal per our usual process.
For skilled nursing facility, in-patient acute rehabilitation at an acute rehab, long term acute care (LTAC), and chronic disease hospitals: you must submit notification of continued stay on day 7. For home health care: you must submit notification of continued stay on day 30. This applies to all lines of business.