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Changes to Home Health Authorization Requests

In order to more effectively process home health authorizations, beginning June 1, 2010, all home health agencies that are registered with NaviNet^®, our secure online portal, must use NaviNet to submit their home health requests. Requests for service lengths up to and including four weeks of care can be submitted, and in most cases, requests for medically necessary care are authorized immediately. After June 1, 2010, callers to the Health Resource Center (HRC) and AmeriHealth discharge planners will be referred to NaviNet for authorization submission.

For home health agencies affiliated with hospitals that use discharge planners, the discharge planners will need to communicate with the home health agency so the information can be entered by the home health agency into NaviNet.

NaviNet submissions that result in a pended status can take up to two business days to be completed. These may include requests for home care services that extend beyond 60 days as well as those requests that may result in a duplication of services. If the authorization remains pended beyond two business days, providers should contact the HRC for assistance.

For additional information — including a list of home health services that can be requested through NaviNet — please read the complete article in the April edition of Partners in Health Update^SM.