Provider Authorization
A Handy Guide to Prior Authorizations
Use our Authorization Grid to quickly find prior authorization requirements for all of our plans and behavioral health, too.
Important Message from MetroPlusHealth to Our Providers
Use our Provider Authorization Grid for Medical Services below to determine what prior authorization requirements are applicable for various plans like Medicaid, Child Health Plus, MetroPlusHealth Gold, and Medicare.
Download the file for Behavioral Health authorizations below.
In keeping with DFS guidance, MetroPlusHealth’s UM protocols resumed on June 22, 2020, including resuming issuing Prior Approvals and performing concurrent review.
Helpful Resources:
Medical Services Prior Authorization Request Grid
BH & HCBS Services Prior Authorization Grid
Medical Benefit Drug Prior Authorization Grid
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