Medicare AdvantageAdministrativeMedium impact
Optum's In-office Assessment Program Expanded to Include Affordable Care Act
Medical Mutual of Ohio·In the News
Effective date
Sep 1, 2021
We identified it
Jun 20, 2026
Summary
Optum's In-office Assessment Program, previously only for Medicare Advantage members, is expanding to include Affordable Care Act marketplace plan members effective September 2021. Healthcare practices can earn administrative reimbursement for completing and submitting IOA assessment forms, with full payment for forms submitted within 120 days of service date.
Action Required
Immediately: Billing team should contact Medical Mutual Provider Contracting Manager at 1-800-625-2583 to enroll in expanded IOA program for ACA members. Establish workflow to complete IOA assessment forms at point of care for both Medicare Advantage and ACA marketplace patients. Ensure forms are submitted to Optum within 120 days of service date to receive full administrative reimbursement.