OSP News

McLaren Health Plan’s 2025 Prior Auth Changes

Posted: 12/27/2024

Click here for the preauthorization and notification list for the McLaren Medicare plans (McLaren), including the dual-eligible special needs plan (DSNP).

Please note the term “preauthorization” (prior authorization, precertification, preadmission) when used in this communication is defined as a process through which the physician or other health care provider is required to obtain advance approval from the plan as to whether an item or service will be covered.

Services must be provided according to Medicare coverage guidelines, established by the Centers for Medicare & Medicaid Services (CMS). According to the guidelines, all medical care, services, supplies and equipment must be medically necessary. You can review Medicare coverage guidelines at https://www.cms.gov/medicare-coverage-database/search.aspx.

Click here to read the full announcement from McLaren. 

We value your privacy. We use cookies and other technologies to keep the web site reliable and secure, tailor your experience, and measure web site performance, as described in our Privacy Policy.

x

OSP Technical Support