New OptumHealth Care Solutions Requirements Effective September 1, 2024

As of September 1, 2024, OptumHealth Care Solutions, LLC (Optum) will implement a significant change in their Clinical Support Program, directly impacting UnitedHealthcare and AARP MedicareAdvantage members. This change mandates the online submission of a Patient Summary Form (PSF) for all subsequent treatment visits, although it’s important to note that a PSF will not be required for the initial evaluation.

What is the Patient Summary Form (PSF)?

The Patient Summary Form (PSF) is a vital document that ensures all clinical data for MedicareAdvantage® members is up-to-date and accurately reflects ongoing treatment. This requirement is crucial for all Optum® Physical Therapy, Occupational Therapy, Speech Therapy, and Chiropractic providers, including those categorized as Tier 1A, Tier 1, and Tier 2.

Who is Affected by This Change?

If you are a healthcare provider treating UnitedHealthcare® and AARP® MedicareAdvantage® members, it’s essential to understand that this requirement will apply to any ongoing treatments after September 1, 2024. Regardless of whether you’re a physical therapist, occupational therapist, speech therapist, or chiropractor, this change affects you.

How to Submit the Patient Summary Form (PSF)

The online clinical submission of the PSF can be conveniently completed through the Optum website at myoptumhealthphysicalhealth.com. Optum has also provided a detailed tutorial and instructions on how to complete this submission, ensuring a smooth transition to the new requirements.

Where to Find More Information

For further details about the Clinical Support Program and how it affects your practice, you can refer to the Optum® Provider Operations Manual available on the Optum website. This manual provides comprehensive guidance on the new PSF submission process.

Need Help? Contact Optum Provider Services

Should you require your provider ID, password for the Optum website, or if you have any questions regarding this new requirement, Optum’s Provider Services is available to assist you. Simply call 1-800-873-4575 for support.

Key Takeaways:

• Effective Date: September 1, 2024
• What’s Required: Online clinical submission of a Patient Summary Form (PSF) for subsequent treatment visits.
• Affected Providers: All Optum Physical Therapy, Occupational Therapy, Speech Therapy, and Chiropractic providers.
• Resources: Find tutorials and more information at myoptumhealthphysicalhealth.com.
• Need Assistance? Contact Optum Provider Services at 1-800-873-4575.

It’s essential to prepare for this upcoming change to ensure compliance and uninterrupted patient care. Make sure to familiarize yourself with the new requirements and utilize the resources provided by Optum to facilitate a seamless transition.