Prior Authorization Pain Points

Prior Authorization Pain Points

The purpose of this survey is to gauge Georgia's Medicaid providers' concerns regarding their prior authorization (PA) experience. These questions aim to capture a comprehensive view of your experiences and concerns, and to help identify specific areas for improvement in the prior authorization process.0-9oi

Facility/Office Indicator*

Select or enter value

Facility/Office Name

Facility/Office Region*

Atlanta

Central

East

North

Southeast

Southwest

What CMO(s) are you contracted with?*

Amerigroup

Care Source

Peach State Health Plan

FFS

All of the above

How familiar are you with the prior authorization requirements for the services you provide under Medicaid?*

Very Familiar

Familiar

Somewhat Familiar

Not Familiar

How familiar are you with the prior authorization requirements for the services you provide under the CMOs you are contracted with?*

Very Familiar

Familiar

Somewhat Familiar

Not Familiar

How much time does your practice spend on prior authorization requests per week?*

Select or enter value

Have you ever delayed or declined providing a service due to the prior authorization process?

Yes

No

How Frequently?

Approximately what percentage of your prior authorization requests are approved on the first submission?

Select or enter value

What are the most common reasons for denials in prior authorization requests that you receive?*

Select or enter value

What are the most common services you have received a denial for?*

Other Denial Reason

On average, how long does it take to receive a response (approval or denial) for a prior authorization request?*

1-10 days

10-30 days

30-45 days

45-60 days

61-90 days

91+ days

What is the longest time you’ve had to wait for a prior authorization decision?*

1-10 days

10-30 days

30-45 days

45-60 days

61-90 days

91+ days

How satisfied are you with the timeliness of the prior authorization process?

Highly Satisfied

Satisfied

Unsatisfied

Highly Unsatisfied

How would you rate the communication between your practice and the CMO(s) regarding prior authorization?*

Please include a separate rating for each CMO you are contracted with.

How often do delays in prior authorization impact patient care or outcomes in your practice?

Select or enter value

Can you provide specific examples of how the prior authorization process has affected patient care in your practice?

Are there any best practices from other insurers or payers that Medicaid could consider adopting?

Overall, how satisfied are you with the current Medicaid prior authorization process?*

Highly Satisfied

Satisfied

Unsatisfied

Highly Unsatisfied

Would you say that the burden of prior authorization has increased, decreased, or stayed the same over the past year?*

Increased

Stayed the Same

Decreased

Would you like to be contacted regarding your feedback*

Yes

No

Name*

Email*

Send me a copy of my responses

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