Many health plans (plans) require that providers obtain authorization to ensure payment of various health care services including, but not limited to: occupational, physical, and speech therapy. Authorization requirements may apply to services provided by in-network and/or out-of-network providers.
For plan-specific practices related to prior authorization, click here.
The plan specific guidance includes the most recently available information as of the date of release. Because plans may make periodic changes to their requirements, BEI recommends reaching out to the plans. Providers should use the contact numbers found in the guidance.
Update: December 2, 2016
Please visit the links below for payer-specific information on prior authorization requirements for the following:
Aetna
Affinity
CDPHP
Cigna
Emblem
Excellus BCBS
Healthfirst
MVP
Oxford
Article ID: 285, Created On: 9/25/2015, Modified: 12/2/2016