For Providers

Optum Management for Generations Advantage Medicare Plans Begins March 1, 2023

  • Optum will be managing prior authorization requests for:
    • Radiation Oncology: Selected radiation oncology treatments and procedures (In and Out of Network)
    • Medical Oncology: Selected IV/infusion chemotherapy/systemic therapy, supportive care therapies, and therapeutic radiopharmaceuticals (In Network Only)
    • Specialty Part B Drugs (Non-Oncology): All Part B non-oncology specialty drugs requiring authorization (In Network Only)*
  • For specific drug and procedures requiring prior authorization, please see the authorization page.
  • Prior authorization requests must be submitted for dates of service on or after March 1, 2023.
  • Authorizations for dates of service starting on or after March 1 2023, can be submitted through the Optum Portal beginning February 16 ,2023.
  • Authorizations active prior to March 1, 2023, will remain in effect through the approved dates of service. You will not need to submit a new request until the existing authorization expires.
  • For further details on the Optum program please visit Optum Documentation.

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