Effective Aug. 1, 2026, we’ll require Notice of Admission (NOA) for hospital inpatient admissions* for all plan types (commercial, Medicaid and Medicare). NOA is separate from and in addition to authorization requirements.
*Note: NOA isn’t required for behavioral health admissions
What is NOA and why are we implementing it?
NOA is a notification to the health plan that a member has been admitted as an inpatient. It is not an authorization or approval, and it doesn’t change medical necessity requirements. It’s a notification that helps us manage eligibility, care and downstream review more efficiently.
When is NOA required?
Facilities will be required to notify Priority Health within 24 hours of a hospital inpatient admission (or within one business day).
How is NOA submitted?
The preferred NOA method with the least administrative burden is ADT sharing, which will automate releasing a notification to us when a member is admitted. ADT can be accomplished through Epic Payer Platform or MiHIN (see details below).
We’ll also accept manual NOA submissions via a form in our provider portal when we transition to Epic. This option will be available to all providers, regardless of which EMR you use. We’ll provide instructions for this submission process as we get closer to go-live.
How can you establish ADT with Priority Health?
Epic Payer Platform (EPP)
For groups on Epic’s EMR, ADT sharing is available through EPP. Setup can take 2-3 weeks, after prerequisites (EPP and clinical data sharing implementation) are met. Contact Clyde Kinney, Priority Health Director of Provider Network Analytics (Clyde.Kinney@priorityhealth.com), to get started.
MiHIN
We can also accept NOA data via MiHIN. To establish a new feed with MiHIN, submit a MiHIN Helpdesk ticket either through their JIRA portal (preferred) or by emailing help@mihin.org.
Get more information in our FAQ
We’ve put together a comprehensive FAQ with additional information about the NOA and process. Access the FAQ online.