CommercialPrior AuthMedium impact
New Voluntary Prior Authorization Process Available for Hospital to Submit for Post-Acute (PAC) Level of Care
Medical Mutual of Ohio·PM&R (Physical Medicine & Rehab), Critical Care·Prior Authorization
Effective date
Jun 9, 2025
We identified it
Jun 20, 2026
Summary
Medical Mutual now allows short-term acute care hospitals to voluntarily submit prior authorization requests on behalf of post-acute care facilities (LTACs, rehab facilities, skilled nursing facilities) starting June 9, 2025. This streamlines the transfer process by eliminating the need for post-acute providers to submit their own admission requests.
Action Required
By June 9, 2025: Hospital discharge planning teams should coordinate with post-acute care providers to determine if they want to utilize this voluntary process. Update discharge workflows to include outreach validation and approval steps when submitting PAC requests via MedCommunity on behalf of receiving facilities. Contact Robin Bender at robin.bender@medmutual.com for process details and job aid access.