Physical therapists (PTs) in Washington, Oregon, Idaho, and Utah are in for some good news: Regence insurance company has announced that it is abandoning its tiered system for utilization management (UM) that divided PTs and chiropractors into 3 groups with different allowances for preapproved visits. The system will be suspended on July 1.
Instead of the tiered system, all providers will receive an initial authorization for 6 visits, with additional visits approved when providers demonstrate medical necessity. According to Regence, the change is based on Regence data supporting 6 as the number of visits that covers most episodes of care.
Regence plans to send letters to providers informing them about the change at the end of March.