New Medicare Advantage (MA) rules taking effect January 1, 2024, have the potential to make improvements to the prior authorization process and ensure Medicare beneficiaries receive medically necessary services through their MA plan. Plans have said they don’t see anything in the rules that would make them change current practices. LeadingAge and other providers will begin collecting incidences of non-compliance with MA and Medicare rules starting January 1 to support CMS enforcement.
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