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.
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