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Update July 2008 No. 2008121 Affected Programs: Aftercare Plus, Medicaid To: Inpatient Hospital Providers, HMO's and Other Managed Care Programs Changes to Prior Authorization for Inpatient Hospital
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Step 1: Gather all necessary information and documents related to the changes you wish to make
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Step 2: Review the prior authorization form and identify the sections related to changes
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Step 3: Fill out the necessary sections of the form, providing accurate and detailed information about the changes
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Step 4: Double-check all the information filled in for any errors or omissions
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Step 5: Attach any supporting documents or medical records that may be required
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Step 6: Submit the completed form and any supporting documents to the appropriate authority or organization responsible for prior authorizations
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Step 7: Follow up with the authority or organization to ensure they have received and processed your request
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Step 8: If necessary, provide any additional information or clarifications requested by the authority or organization
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Step 9: Await a decision or response from the authority or organization regarding the changes to prior authorization
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Step 10: Follow any instructions or recommendations provided by the authority or organization in response to your request

Who needs changes to prior authorization?

01
Patients who have received prior authorization and need to make changes to their authorized treatments or services
02
Healthcare providers or facilities that need to revise or update the details of a previously authorized treatment or service
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Insurance companies or payers responsible for approving and managing prior authorizations for medical procedures, medications, or services
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Changes to prior authorization refer to any modifications or updates made to an existing prior authorization request.
Healthcare providers or facilities are typically responsible for filing changes to prior authorization.
Changes to prior authorization can usually be filled out by submitting a new form with the updated information or contacting the insurance company directly.
The purpose of changes to prior authorization is to ensure that the patient's medical treatment is properly approved and covered by their insurance.
Changes to prior authorization may require reporting updated medical information, changes in treatment plans, or new supporting documentation.
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