Prior Authorization

Prior Authorization in Aging Law

Concept of Prior Authorization in the context of Community Health Care and Services for Older Persons, published by the World Health Organization (WHO):A requirement imposed by a third party payer under many systems of utilization review in which a provider must justify, before a peer review committee, insurance company representative or state agent, the need to deliver a particular service to a person before actually providing the service in order to receive reimbursement.