August 21, 2023 Bulletins PRIOR AUTHORIZATION PROCESS-RESIDENTIAL TREATMENT AND TREATMENT FOSTER CARE August 18, 2023 Applies to: • Qualified Residential Treatment Programs (QRTP) • Residential Treatment Agencies for Children and Youth • Child Placing Agencies Delivering Treatment Foster Care (TFC) Services Effective date: July 1, 2023 • PRIOR AUTHORIZATION REQUIRED • INSTRUCTIONS FOR SUBMITTING PRIOR AUTHORIZATION REQUESTS • PROCEDURE CODES AND MODIFIERS • REQUIRED DOCUMENTATION FOR INITIAL REQUESTS • CONTINUED SERVICE REVIEWS • MEDICAL NECESSITY DETERMINATION • APPLICABILITY Read more... Contact Us |
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