Therapy Pre-Approval Requests Received On or After December 17, 2012
Any therapy pre-approval requests received on or after December 17, 2012 will not be approved or disapproved. Claims associated with these requests will be subject to prepayment or post payment review. This is necessary and appropriate to allow 10 business days to approve requests. Requests received on or after December 17, 2012 would otherwise extend past December 31, 2012 (where there are no exception requests since a new cap starts on January 1, 2013).