Mental Health and Substance Use Services for Adult Members

Auth Requirement Updates

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

05.06.2024 Authorization Requirement Updates - Pharmacy, Neurotransmitter and DME Services

05.09.2024 Provider Statement of Need (PSON)

06.28.2024 Authorization Requirement Updates - Ambulatory Blood Pressure Monitoring, Pulmonary and DME Services

07.24.2024 Authorization Requirement- Rural Health Clinic or Federally Qualified Heath Center, Pharmacy Services

08.06.2024 Authorization Requirement Updates - GI and Resp. PCR Testing

08.16.2024 Medical Necessity Guidelines

08.22.2024 Authorization Requirement Updates - Genetics, Lab, Pharm, Neurotransmitter, Preventative Med and Dental Anes

08.27.2024 Authorization Requirement Updates - General Surgery, Orthopedic and Pharmacy Services

08.30.2024 Authorization Requirement Updates - Neurotransmitter, Preventative Med and Dental Anes Services-2nd Notice

09.05.2024 Attention Provider Portal Update - New Referral Type

09.16.2024 Authorization Requirement Updates - Pharmacy Services

10.01.2024 In Lieu of Services Provider Education

10.01.2024 Authorization Requirement Updates for Behavioral Health Services_In Lieu of Services

10.01.2024 Authorization Requirement Update - Therapy Re-evaluations

10.01.2024 Authorization Requirement Updates_Wound Care Services

10.03.2024 Medical Necessity Guidelines Update - Behavioral Health and Substance Use Disorder Non-Covered Benefit Process

10.09.2024 Authorization Requirement Updates - Pharmacy and Allergy Services

10.23.2024 Authorization Requirement Updates - Pharmacy, DME, and Home Infusion Services

10.23.2024 Authorization Requirement Updates - COVID-19 Vaccines

11.01.2024 Authorization Requirement Update - Therapy Re-evaluations, Resend

11.04.2024 Authorization Requirement Updates - Therapy & Pharmacy

11.15.2024 Authorization Requirement Updates for Behavioral Health Services_In Lieu of Services - 2nd Notification Part 1

11.15.2024 Authorization Requirement Updates for Behavioral Health Services_In Lieu of Services - 2nd Notification Part 2

12.12.2024 Authorization Requirement Updates - DME and Infusion Services

12.12.2024 Authorization Requirement Updates - Pharmacy and DME Services

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