California AB574 eliminates prior authorization for the first 12 physical therapy visits for new conditions.
California AB574 modifies health insurance policies to eliminate prior authorization for the first 12 physical therapy visits for new conditions. For recurring conditions, prior authorization may be required if treatment is sought within 180 days of the last intervention. The bill also mandates that physical therapy providers disclose coverage details and obtain written consent for uncovered costs. This change aims to ensure timely access to physical therapy and reduce barriers created by complex authorization processes.
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- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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