American Physical Therapy Association

Fix Prior Authorization: Ask Your Members of Congress to Cosponsor the Improving Seniors' Timely Access to Care Act
Many APTA members report that medically necessary physical therapist services are delayed — greatly impacting patients’ clinical outcomes — because of the amount of time and resources they spend on documentation and administrative tasks. In a recent APTA survey, nearly 75% of respondents indicated that prior authorization requirements delay access to medically necessary care. 

The Improving Seniors’ Timely Access to Care Act (H.R. 8702/S. 4532) aims to improve the current prior authorization system by requiring the Centers for Medicare & Medicaid Services to streamline the way Medicare Advantage plans use prior authorization. This legislation would establish an electronic prior authorization process, require real-time decisions for services that are routinely approved, increase transparency by requiring MA plans to report to CMS on their use of prior authorization (including their rates of approval, denial, and average time of approval), and press them to do a better job of incorporating input from health care providers in their authorization programs and decisions.

Please ask your members of Congress to cosponsor the Improving Seniors’ Timely Access to Care Act. These two minutes may save you and your patients time, money, and negative clinical outcomes in the future.

Thank you for taking action and for your support of APTA advocacy.

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