As you know, KanCare is now well underway with the new payors. As a reminder, you need to verify what procedures need to pre-authorized. One area that DOES need to be pre-authorized is pain management for members with Amerigroup or Sunflower State Health Plan (United Healthcare does not require pre-auth for pain management services.). Please be sure your office or facility is getting your pain management services prior authorized with Amerigroup and Sunflower.
Here are the sites to verify pre-authorization requirements:
Sunflower:
http://www.sunflowerstatehealth.com/for-providers/prior-authorization/prior-auth-needed/
Amerigroup:
https://providers.amerigroup.com/QuickTools/Pages/PrecertificationLookup.aspx
United Healthcare:
Section 4.3 (Page 3) –
http://www.uhccommunityplan.com/assets/KS-Chapter4-MedicalManagement.pdf
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Editor: Philip Blann (pblann@anesthesiabilling.com).
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