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Upcoming change to the clinical review of Home Health services

August 31, 2018

Effective October 1, 2018, AmeriHealth will be implementing a change to the clinical review process of precertification requests for Home Health services. In an effort to improve the request process, requests for Home Health services will be pended and reviewed by our Clinical Services nurses at an earlier stage in order to determine the extension of services being requested.

There will be no change to the process of requesting precertification. Home Health providers should continue to submit precertification requests through the Authorizations transaction on the NaviNet? web portal. Providers should refer to the Authorization Log to monitor the progress of their requests.

For more information

If you have any questions about this change, please call the AmeriHealth Clinical Services department at 1-888-YOUR-AH1 for AmeriHealth New Jersey and 1-800-275-2583 for AmeriHealth Pennsylvania.

NaviNet? is a registered trademark of NaviNet, Inc.


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