New Hampshire SB480 limits prior authorization requirements for physical therapy and occupational therapy services.
New Hampshire SB480 mandates that health carriers may only require prior authorization for physical therapy and occupational therapy following the covered person’s first visit. It stipulates that prior authorization must be provided for at least eight treatments if deemed medically necessary based on the patient's evaluation at the initial visit, unless the plan sponsor's contract with the health carrier specifies otherwise. The bill defines a "new episode of care" as treatment for a new condition or a recurring condition for which an enrollee has not been treated within the previous 60 days.
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