Effective November 1, 2013, home health services providers will no longer be able to initiate new prior authorization requests or request extensions over the phone. This change will affect all providers of all home health services, including the following:
- Skilled nursing and home health aide visits
- Physical and occupational therapy
- Durable medical equipment (DME)
- Expendable medical suppliesAfter November 1, 2013, providers will still be able to use the Home Health Inquiry and Prior Authorization phone line to inquire about the status of home health prior authorization requests that have been initially submitted to TMHP online or by fax or mail.
To initiate a new prior authorization request or request an extension of an existing prior authorization, home health services providers will be required to submit the request online using the TMHP secure provider portal or on paper by faxing or mailing TMHP the appropriate paper prior authorization form.
For more information, call the TMHP Contact Center at 800-925-9126.