Are you a provider that accepts MVP Medicare Plan members that receive home health services? Then this blog post is for you!

As per MVP for any DOS starting on 4/1/26 and there after the following home health services will NOT require a prior authorization:

• Registered Nurse (RN)
• Licensed Practical Nurse (LPN)
• Home Health Aide services
• Speech Therapy
• Physical Therapy
• Occupational therapy

This update applies to Participating Providers ONLY!

Medicare Medical Necessity Requirenment:

• Important the services still need to be properly ordered and documented
• Need to meet the CMS Medical Necessity requirenments
• Are subject to retrospective review (audit)

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