Preauthorization is required before you receive certain Covered Services
Services Subject To Preauthorization:
- All inpatient admissions, including maternity admissions and admissions for illness or injury to newborns
- Inpatient Mental Health Care, Substance Use Services
- Mental Health and Substance Use Intensive Outpatient Program Services
- Mental Health and Substance Use Partial Hospitalization Program Services
- Skilled Nursing Facility • Outpatient/Ambulatory Surgical Treatments
- Physical, Occupational, and Speech Therapy
- Diagnostic Radiology Services
- Therapeutic Radiology Services
- Advanced Imaging Services
- Durable Medical Equipment
- Prosthetics and Orthotics
- Assistive Communication Devices
- Genetic Testing
- Interventional Spine and Joint Pain Management Procedures;
- Specialty Prescription Drugs
(See Certificate of Coverage for all area requiring Preauthorization)