CommercialPrior AuthHigh impact
Medical Mutual Temporarily Suspending and/or Modifying our Utilization Management Processes
Medical Mutual of Ohio·OH · Critical Care, PM&R (Physical Medicine & Rehab)·Prior Authorization
Effective date
Jan 5, 2022
We identified it
Jun 20, 2026
Summary
Medical Mutual is temporarily suspending prior authorization requirements for LTAC, Acute Rehab, and SNF transfers, and modifying acute care inpatient review processes through January 31, 2022, due to COVID-19 surge. Facilities must still notify Medical Mutual of admissions by next business day and provide clinical information.
Action Required
Immediately through Jan 31, 2022: Update workflows to notify Medical Mutual by next business day for all LTAC, Acute Rehab, and SNF admissions instead of obtaining prior authorization. Discharge planning staff must notify Medical Mutual when discharging patients to these facilities. Continue normal admission notifications for acute care hospitals but may suspend additional clinical information requests after initial review.