P2P update for Medicare inpatient acute authorizations
We’ve updated how we handle peer-to-peer conversations (P2P) for inpatient acute authorization denials for our Medicare, D-SNP and HIDE-SNP plans.
January 29, 2026
2026 scheduled maintenance dates for TurningPoint's authorizations portal
TurningPoint’s authorizations portal is intermittently offline for scheduled maintenance one evening per month, from 7 p.m. on a Saturday to 12 a.m. the following Sunday (Eastern Time).
December 30, 2025
We’re updating our processes for inpatient acute authorizations
We’re working to align our utilization management (UM) processes for inpatient acute authorizations for Medicare and Medicaid, and to ensure we’re in compliance with both CMS regulations and state recommendations for HIDE-SNP implementation.
December 10, 2025
TurningPoint annual provider survey
TurningPoint, which manages cardiac and MSK authorizations on our members’ behalf, is inviting our providers to participate in the Annual TurningPoint Provider Survey.
November 21, 2025
11/10/25: P2P update for Medicare inpatient acute authorizations
Effective Jan. 1, 2026, we’ll offer peer-to-peer reviews (P2Ps) for Medicare inpatient acute authorizations before issuing a denial, rather than after.
November 5, 2025
10/15/25: Varicose vein authorizations updates
We’re sharing two updates regarding varicose vein procedure authorizations.
October 15, 2025
09/25/2025: Home health care authorizations update
Many home health care services no longer require prior authorization for our in-network providers, effective Sept. 1, 2025.
September 29, 2025
09/17/2025: Reminder: Medicaid members now receive inpatient denial letters
To comply with a recent decision by the Centers of Medicare and Medicaid Services (CMS), Medicaid members whose authorization requests for inpatient services were denied now receive denial letters in the mail.
September 17, 2025
09/10/2025: Withdrawing pending authorizations through GuidingCare is temporarily unavailable
Effective Sept. 10, 2025, providers are temporarily unable to withdraw pending authorizations from GuidingCare directly.
September 10, 2025
Wheelchair authorizations: request only the duration needed
When submitting wheelchair authorization requests for our members, our utilization management team asks that you now request only the duration you anticipate the member will need based on their condition.
August 13, 2025
TurningPoint post-claim appeal updates
We’re sharing a couple of updates on post-claim appeals for medical necessity for cases managed by TurningPoint.
July 7, 2025
Delayed implementation of varicose vein authorizations
Implementation of prior authorization requirements for certain varicose vein procedures is delayed.
June 29, 2025