Procedures, programs, and drugs that require precertification
Services that require precertification: 1. Inpatient stays (except hospice) For example, surgical and nonsurgical stays, stays in a skilled nursing facility or rehabilitation facility, and maternity and newborn stays that exceed the standard length of stay (LOS) Ambulance . Precertification required for transportation
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www.geisinger.orgDec 28, 2021 · Breast Reduction 03/01/02 Prior authorization for all lines of business Monthy Provider Update April 2021-Annual Policy Review MP 68 For lists of drugs that require prior authorization check the appropriate list below: • Medicaid Medical Drug (PDL and non-PDL) prior authorization list