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Medicare Prior Authorization Change Summary - Effective 7/1/2023

Date: 05/25/23

Absolute Total Care requires prior authorization (PA) as a condition of payment for many services. This Notice contains information regarding such prior authorization requirements and is applicable to all Medicare products offered by Absolute Total Care.

Absolute Total Care is committed to delivering cost effective quality care to our members. This effort requires us to ensure that our members receive only treatment that is medically necessary according to current standards of practice. Prior authorization is a process initiated by the physician in which we verify the medical necessity of a treatment in advance using independent objective medical criteria and/or in network utilization, where applicable.

If you have any questions regarding this information, you may contact Provider Services at 1-855-766-1497 or contact your dedicated Provider Relations Specialist.