5/4/2020
In March 2020, Bright Health suspended a subset of authorization requirements to support Care Partners in the care and safety of members during the COVID-19 pandemic. As providers begin to schedule non-emergent medical and surgical procedures, Bright Health will reimplement authorization requirements over the next two months for the Individual and Family Programs (IFP) and Medicare Advantage (MA) plans.
Please review the new Utilization Management PDF guidance dated May 1, 2020 and the Authorization Change Request Form guidance. At this time the best way to submit an authorization request is online via the Provider Portal, Availity.com.
The Annual Wellness Exams document is also available for your review.
Bright Health will provide ongoing updates that reflect any additional changes to their Utilization Review requirements.