For details about authorization and referral requirements, please refer to our COVID-19 state of emergency PA grid
In-patient elective surgeries and hospital admissions
AllWays Health Partners is suspending prior authorization review for scheduled in-patient elective surgeries or admissions at hospitals during the Massachusetts state of emergency. 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.
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.