Auth Requirement Updates

04.14.2023 Authorization Requirement Updates - Pharmacy and General Surgery Services 

04.14.2023 Attention_Change of Provider Letter Required 

04.12.2023 Authorization Requirement Updates Pharmacy and Plastic Surgery Services

05.01.2023 Authorization Requirement Updates Pharmacy, Laboratory, Inpatient, and Equipment & Supplies Services 

05.1.2023 Admission Notification and Clinical Submission Time Frame Update

05.01.2023 Attention Admission Notification Time Frame 05.02.23 revised

05.10.2023 No auth Cataract surg Hospital Facilities and ASC

05.10.2023 Authorization Requirement Update - Ophthalmology Procedure Code 66984 No auth required 

05.21.2023 Authorization Requirement Updates_Dental Services_Provider Determination Letter 

06.01.2023 Authorization Requirement Updates. Medical Food, Neurostimulator, COVID Vaccine Admin

06.01.2023 Authorization Requirement Updates (J1726 Makena)

06.12.2023 Routine Delivery Notifications 

06.15.2023 Authorization Requirement Updates Pharmacy and Telephone Evaluation Services 

06.23.2023 Authorization Requirement Updates Pharmacy Services

06.23.2023 Authorization Requirement Updates for NIPS 

06.23.2023 Authorization Requirement Updates Related To Eligibility Issues and Late Notification 

08.11.2023 Authorization Requirement Updates Radiology Diagnostic Services and Pharmacy Services 

08.15.2023 Authorization Requirement Updates - Pharmacy, other services and non-covered benefit codes 

09.08.23 Medical Necessity Guidelines

10.24.2023 Routine Delivery Notifications

10.31.2023 Authorization Requirement Updates - Pharmacy, DME, ENT, and Other Services 

11.22.2023 Authorization Requirement Updates

11.30.2023 Authorization Requirement Updates - Pharmacy, DME, and Other Services

12.13.2023 Authorization Requirement Updates

01.04.2024 Authorization Requirement Updates - Pharmacy Services and Caudal Block

01.04.2024 Authorization Requirement Updates Related to Omnipod Devices

01.04.2024 Incontinence Supply requests

01.16.2024 Authorization Requirement Updates - Pharmacy, Injections and Radiology

01.23.2024 DME Requests Upon Discharge from a Facility

02.02.2024 Authorization Requirement Updates Dental Services Provider Determination Letter Reminder

02.02.2024 Authorization Requirement Updates - Pharmacy and Neurology

02.09.2024 Authorization Requirement Updates - Pharmacy, Lab, Radiology, DME, GI, Pulm.

03.01.2024 Medical Necessity Guidelines

03.27.2024 Authorization Requirement Updates - Cardiology Services

04.11.2024 Authorization Requirement Updates - Pharmacy Services

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