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Get the free New Therapy Prior Approval Form (pdf) - Illinois Department of ... - hfs illinois

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Pat Quinn, Governor Julie Amos, Director 201 South Grand Avenue East Springfield, Illinois 62763-0002 Telephone: 1-877-782-5565 TTY: (800) 526-5812 Informational Notice Date: August 18, 2014, To:
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New therapy prior approval is a process where healthcare providers must seek approval from an insurance company or other payer before starting a new therapy or treatment on a patient.
Healthcare providers such as doctors, hospitals, and clinics are required to file new therapy prior approvals before initiating new treatments on patients.
Providers can fill out new therapy prior approval forms online or submit them through fax or mail, providing all required information about the patient and the proposed treatment.
The purpose of new therapy prior approval is to ensure the medical necessity and appropriateness of a new therapy or treatment before it is administered to a patient, ultimately controlling costs and improving patient outcomes.
Information required on new therapy prior approval forms typically includes patient demographics, medical history, diagnosis, proposed treatment plan, and supporting documentation from healthcare providers.
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