Prior Authorization Guidelines

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Expedited Prior Authorization (EPA) List

www.hca.wa.gov

Expedited prior authorization (EPA) is designed to eliminate the need for written authorization. The agency establishes authorization criteria, and identifies the criteria with specific codes, and/or situations, enabling providers to use an EPA number in ... EPA Guidelines. The provider must verify medical necessity for the EPA number submitted ...

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Preferred Drug List Prior Authorization and Step Therapy ...

www.bcbsm.com

Prior Authorization and Step Therapy Coverage Criteria January 2022 Page 1 ... Not all drugs included in these prior authorization and step therapy guidelines are necessarily covered by your plan. Also, some medications excluded from your prescription drug plan may be covered

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Blue Cross and BCN: Procedures that require prior ...

ereferrals.bcbsm.com

For information about finding clinical guidelines and submitting prior authorization requests, refer to these webpages on the ereferrals.bcbsm.com website: • Blue Cross AIM-Managed Procedures page • BCN AIM-Managed Procedures page Note: Medical oncology medications that r equire prior authorization by AIM are not included in this

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Updated November 2021 - BCBSIL

www.bcbsil.com

Updates to prior authorization requirements to a code (e.g., when BCBSIL or vendor adds or ends end prior authorization requirement, or if prior authorization requirement was added or removed prior to code list posting date). PRESS "CTRL" AND "F" KEYS AT THE SAME TIME TO BRING UP THE SEARCH BOX. ENTER A PROCEDURE CODE OR DESCRIPTION OF THE …

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Services that require authorization for Michigan providers

ereferrals.bcbsm.com

Prior authorization and approvals for extensions are required. Call Medicare Plus Blue Behavioral Health at 1-888-803-4960. Physical and occupational therapy (outpatient) Prior authorization is required by eviCore healthcare. Refer to the list of : Procedures that require clinical review by eviCore healthcare and the Services reviewed by

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Prior Authorization of Advanced Diagnostic Imaging ...

www.evicore.com

• CPT code list of the procedures that require prior authorization • ABH quick reference guide • eviCore clinical guidelines • FAQ documents and announcement letters To obtain a copy of this presentation, please contact the Client Services department at clientservices@evicore.com

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How to Obtain a Consumer’s Authorization before Gaining ...

marketplace.cms.gov

Marketplace prior to an assister obtaining access to a consumer’s PII, and that applicants can revoke that authorization at any time; and • Maintain a record of the authorization in a form and manner determined by the Marketplace. In FFMs, this period is no less than six years, unless a different and longer ...

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