What does it mean to get prior authorization? Getting prior authorization means you’re getting the care approved by your regional contractor before you actually go to an appointment and get the care.
When care is approved:
You must have prior authorization for all specialty care. You also need a fitness-for-duty review for:
Are you using any of the following plans?
You must get prior authorization from your regional contractor for the following services:
Check with your regional contractor for additional requirements and specific processes:
Last Updated 1/2/2018