Provider Authorization
A Handy Guide to Prior Authorizations
Helpful Resources:
Authorization Grids
last updated: August 6, 2024
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.
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.
Medical Services Prior Authorization Request Grid
BH & HCBS Services Prior Authorization Grid
Medical Benefit Drug Prior Authorization Grid
Talk To Us About Any Questions or Concerns
Monday–Friday | 8 a.m.–6 p.m. (ET)
This website uses cookies so that we can provide you with the best user experience possible. Cookie information is stored in your browser and performs functions such as recognising you when you return to our website and helping our team to understand which sections of the website you find most interesting and useful.
Strictly Necessary Cookie should be enabled at all times so that we can save your preferences for cookie settings.
If you disable this cookie, we will not be able to save your preferences. This means that every time you visit this website you will need to enable or disable cookies again.
