Most benefits plans require members to have prior authorization before they are admitted to a hospital, skilled nursing facility or rehabilitation facility, or before they receive a 23-hour observation stay, home health services, home infusion therapy, and certain outpatient services. If prior authorization is not obtained, members will often have to pay all or a larger share of costs for that care.
Please use these payroll stuffers and poster/handouts in your workplace to help educate your employees - particularly those who work outside of Tennessee - about prior authorization. Just print out and distribute the materials, or include the information in your company newsletter or bulletin board system.
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