Transcription of PRIOR AUTHORIZATION MANUAL
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PRIOR AUTHORIZATION MANUAL
PRIOR AUTHORIZATION MANUAL FY 2018 PRIOR AUTHORIZATION MANUAL REVISIONS 1 GENERAL INFORMATION 2 SERVICES REQUIRING NO PRIOR AUTHORIZATION 2 GENERAL REQUEST INFORMATION 3 ODMHSAS PICIS HELP DESK 4 INFORMATIONAL WEB SITE FOR PROVIDERS 4 EDUCATIONAL OPPORTUNITIES 4 SOONERCARE ELIGIBILITY 4 PROVIDER ELIGIBILITY 5 NEWLY CERTIFIED FACILITIES/INDIVIDUAL PROVIDERS 5 MEMBER NAME AND/OR SOONERCARE ID NUMBER CHANGES 5 COLLABORATION BETWEEN OUTPATIENT BEHAVIORAL HEALTH PROVIDERS 5 APPEALS PROCESS 11 PRIOR AUTHORIZATION PROCESS BEHAVIORAL HEALTH AGENCIES 12 INSTANT PRIOR AUTHORIZATION 12 Pre-Admission Services 12 OUTPATIENT REQUEST FOR PRIOR AUTHORIZATION 14 Extra Unit BH Service Plan Development Low Complexity 14 Gambling 14 OJA Multi-Sy
1 PRIOR AUTHORIZATION MANUAL REVISIONS July 1, 2017 Under the Medical Necessity Criteria section of the Manual: o Revised (*) Note at the bottom of the page for Substance Abuse/Integrated Adult
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