CommercialPrior AuthHigh impact
Provider News - August 2025
Security Health Plan·Orthopedics, Pain Management, PM&R (Physical Medicine & Rehab)·Provider News
Effective date
Oct 1, 2025
We identified it
Jun 20, 2026
Summary
Security Health Plan will require prior authorization for genicular nerve blocks effective October 1, 2025, for Commercial and TPA products. The plan is also implementing new drug wastage payment policies and discontinuing the Freespira program.
Action Required
By October 1, 2025: Billing team must update systems to require prior authorization for genicular nerve blocks for Commercial and TPA products. Contact providers performing these procedures to ensure they obtain prior auth before treatment. Claims without prior authorization will be denied after this date.