Traditional MedicarePrior AuthMedium impact
We're postponing the removal of Medicare inpatient acute authorization requirements
Priority Health·Prior Authorization
We identified it
Aug 4, 2026
Summary
Priority Health is postponing the previously announced removal of prior authorization requirements for Medicare inpatient acute medical admissions that was scheduled for September 1, 2026. Existing authorization requirements remain in place indefinitely until further notice. Billing teams must continue requiring prior authorization for all Medicare inpatient acute admissions with no change to current workflow.
Action Required
Immediately: Billing team must maintain current prior authorization requirements for all Medicare inpatient acute medical admissions. Do NOT implement any removal of authorization processes. Continue submitting prior authorization requests through existing channels before patient admission. Monitor Priority Health communications for updated implementation timeline. No workflow changes are needed at this time—continue existing authorization procedures.