Authorizations

What needs prior authorization? Search by CPT Code.
Check Authorization Request Status - Please login to our web services.
Get Authorization Request Form
Get Authorization Request for Continued Physical Therapy
Get Authorization Request for DEXA Scan
Get Authorization Request for Sleep Study
Get Authorization Request for Glaucoma
Foundation Utilization Management Policy

Go to HMO Authorization Requirements Summary
* All services provided by out of plan (non-contracted) providers require prior authorization.
* All Services provided outside of Humboldt or Del-Norte Counties require prior authorization.
* Please note the link at the top of this page to search for local, in-plan providers
Go to PPO Authorization Requirement Summary
Please note that the summary shows requirements by Health Plan.
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