Provider Alert: Authorization Updates and More
Authorization Requirement Update
Positive and/or lateral prior authorization updates, effective October 2, 2023, will be listed on optimahealth.com on Thursday, October 5, 2023.
Personal Care Hour Requests and Retroactive Authorization Process
Optima Health values your care in providing long term support services to our members. Member care is a top priority, and your partnership is critical. To align with the Commonwealth Coordinated Care Plus Waiver Manual, Optima Health wants to make you aware of upcoming changes to initial personal care hour requests and the retroactive authorization process. The following will be effective for all requests received on or after November 27, 2023