Governor Wolf Removing Pre-authorization for MAT

Governor Wolf Removing Pre-authorization for MAT

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Governor Wolf is removing pre-authorization requirements for some medications used in the treatment of opioid addiction. In an effort to help people get treatment more quickly, the state will remove a pre-authorization requirement for Medicaid recipients prescribed some types of medication which are helpful for recovery. Pre-authorization can take up to 24 hours to process, and the administration hopes the change will prevent situations where people struggling with addiction must decide whether to pay out of pocket for the medication, risk going into painful withdrawal, or make no changes at all. Treatments like Suboxone and Vivitrol require a prescription from a doctor; they often also require a pre-authorization from insurance. With the waiver in place, a prescription alone will be enough to ensure that Medicaid recipients receive coverage for such treatments. See the Governor’s press release here.

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