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Changes in Prior Authorization Requirements for Post-Acute Stays Due to Increase in COVID Infections

Date: 11/19/20

Iowa Total Care (ITC) is following the State’s decision to waive prior authorizations for inpatient discharges to the post-acute settings. This went into effect on November 17, 2020, and will stay in effect until further notice. 

All admissions to a Skilled Nursing Facility (SNFs); Long Term Acute Care (LTAC) Facility; and Acute Rehabilitation Agencies will not need a prior authorization, BUT providers MUST NOTIFY ITC within the first seven (7) calendar days of a stay in one of the mentioned facilities/agencies.

A prior authorization is not required during days one (1) through seven (7) BUT these facilities must notify ITC that one of our members is residing there during that time period.

A concurrent review will be required on the eighth (8th) day of the post-acute stay.