Residents of Washington and five other states enrolled in traditional Medicare could soon need preapproval for certain medical services — a familiar hurdle for commercial insurance plans, including Medicare Advantage, but until now largely absent from traditional Medicare. The Centers for Medicare & Medicaid Services says the prior authorization requirement, beginning Jan. 1, aims to cut spending on unnecessary or low-value care. It’s being tested in six states — which include New Jersey, Ohio, Arizona, Texas and Oklahoma. If the experiment is deemed a success, the requirements could roll out to other states.
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Source: https://www.oregonlive.com/health/2025/08/medicare-will-require-more-prior-authorization-in-some-states.html