Preauthorization Submission Requirements Through NaviNet Start October 1

In an effort to manage the cost of health care and to more effectively process authorizations, we are continuing to implement enhanced electronic tools and resources for our network providers. Effective October 1, 2010, all NaviNet-enabled provider sites will be required to submit their initial authorization requests through NaviNet.

The following authorization types must be requested through NaviNet:

• medical/surgical procedures
• cardiac rehab
• chemotherapy/infusion
• durable medical equipment
• emergency hospital admission notification
• home health (effective June 1, 2010)
  • registered dietitian
  • home health aide
  • occupational therapy
  • physical therapy
  • skilled nursing
  • social work
  • speech therapy
• home infusion
• outpatient speech therapy
• pulmonary rehab
• sleep studies

For more information, please read the complete article in the August edition of Partners in Health Update^SM.