Effective 1/1/2024, PacificSource Medicare Advantage plans will make the following changes to their prior authorization requirements:

• Prior authorization for therapies over the CMS threshold (previously known as the cap) will no longer be required. This includes physical, speech, and occupational therapy. Requests for network exceptions are still required.
• The following codes will no longer require prior authorization: 
  • 0042T
  • 0207T
  • K0005
  • L5673
  • L5620
  • L5637
  • L1970
  • E0666
  • E0665
  • R0660
  • E0657
  • E0656
  • E0655
  • E0667
  • E0668
  • E0669
  • E0675
  • E0673
  • 69661
  • 61512
  • 23630
  • 62320