Prior Authorization Requirements by Payer (Insurance Plan)

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: 9/25/2015 at 2:44 PM, Modified: 12/2/2016 at 4:41 PM

Prior Authorization Requirements by Payer (Insurance Plan)

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