NOTIFYING MEMBERS OF AUTHORIZED SERVICES
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In accordance with Appendix AA of the Balanced Budget Act (BBA) all Managed Care Organizations are required to have a process in place to ensure HealthChoices members are notified as expeditiously as possible of medically necessary services authorized for payment. VBH-PA mails member specific authorization letters daily to providers approved to render the covered service. Due to confidentially concerns surrounding behavioral health services, prior authorization letters are mailed only to providers. Please make available to all HealthChoices members any VBH-PA authorization letters pertaining to the member when they present for service.
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