Step-by-step guide for prior authorization
Many procedures require prior authorization (PA) before you can treat your patients. Our goal is to make this process as easy as possible. This section provides information on:
- How to submit an authorization request, and
- The documentation required when submitting.
Note: The agency contracts with Comagine Health to provide web-based access for reviewing medical necessity for the following Apple Health (Medicaid) services:
- Outpatient advanced imaging services
- Select surgical procedures
- Outpatient advanced imaging
- Spinal injections, including diagnostic selective nerve root blocks
To learn more about Comagine Health, view "Medical Necessity Review by Comagine Health" in the Physician-related/health care professional services billing guide.
On this page
- Step 1: Check client eligibility
- Step 2: Determine if a code or service requires prior authorization
- Step 3: Find and complete forms
- Step 4: Submit a PA request
- Step 5: Check the status of an authorization
- Expedited prior authorization (EPA)
Step 1: Check client eligibility
Log into ProviderOne to determine if your client is eligible for the service(s) or treatment(s) you wish to provide. Learn how using our Successful eligibility checks using ProviderOne fact sheet.
Note: If the client is in a managed care plan, please contact the plan for coverage and prior authorization requirements. To access other health plans, visit OneHealthPort.
Step 2: Determine if a code or service requires prior authorization
Use our provider billing guides and fee schedules to review policy and find out whether a code or service requires prior authorization.
National Correct Coding Initiative (NCCI)
HCA's authorization services do not consider National Correct Coding Initiative (NCCI) guidelines when processing a request. Make sure your office checks the NCCI guidelines prior to submission.
Important: Inadvertently approved authorizations do not guarantee claims payment.
How?
- Find the program or service that corresponds to the service(s) or item. (Programs and services are listed in alphabetical order.)
- Click the program or service name to expand the listing. Here you will find billing guides, fee schedules, preferred drug list (PDL), and expedited authorization codes and criteria for that program or service.
- Open the appropriate billing guide, fee schedule and/or other resources based on the date of service to search for the code, service or drug.
Important: Check the code or service in the fee schedule and provider guide for where the services will be performed. You may have to check multiple schedules or guides based on place of service. For example: Check the physician fee schedule and the ambulatory surgery center (ASC) fee schedule if you are performing the service in an ASC to:
- Make sure that it is covered for the location where you are performing the service, and
- See whether a PA is required for that place of service.
Billing guide/fee schedule quick links
The following is a shortened list of regularly used billing guides and fee schedules.
- Complex Rehabilitation Technology (CRT)
Note: All codes on this fee schedule require prior authorization
- Dental Program
- Medical equipment (ME)
- Orthodontic services
- Physician-related/professional services
- Prescription Drug Program
Step 3: Find and complete forms
Services or items requiring prior authorization must be submitted on the General Information for Authorization (form 13-835), or for drugs submitted through the pharmacy point of sale (POS) system the Pharmacy Information Authorization (form 13-835A). Each individual service or item may require additional forms. View a list of all prior authorization forms on our Forms and publications webpage.
Commonly used forms
One of the following forms is required to initiate the prior authorization process.
- General Information for Authorization (13-835)
- Pharmacy Information Authorization (13-835A)
Step 4: Submit a PA request
Submit by mail not available at this time: The agency is no longer accepting prior authorizations requests or supporting documentation by mail. Please submit by direct data entry or by fax.
By direct data entry (DDE) in the ProviderOne portal
Providers can direct data enter authorization requests directly into the ProviderOne System. This feature includes the ability to attach records, color photos, and x-rays. Upon successful submission, a provider will receive a 9-digit reference number; the reference number is verification that the agency has received your request. Providers must not bill or perform a procedure(s) until the agency has provided written approval. This new function does not change the way the agency processes prior authorization requests, the agency will still process requests in the order received. Please ensure that when submitting a prior authorization request that the required documentation is included along with a fax number. See the self-service training resources below:
- DDE authorization for dental providers
- DDE authorization for medical providers
- DDE authorization for ME providers
By fax
Complete the General Information for Authorization form (13-835) with all supporting documentation and fax it to: 1-866-668-1214.
For drugs submitted through the pharmacy point-of-sale (POS) system, complete the Pharmacy Information Authorization form (13-835A) and fax to 1- 833-991-0704.
Note: Form 13-835 and 13-835A must be typed and be page 1 of your fax to avoid delays. Do not include a fax coversheet.
Submit x-rays or photos (if required)
Fax submissions
Use FastAttach TM services provided by Vyne Dental (formerly NEA).
- If you are not already registered, register at reg.nea-fast.com. For more information contact: 1-800-782-5150, ext. 1.
- Fax your request to the agency and indicate the FastAttach# in the NEA #18 field on the PA request form.
There is a cost associated which will be explained by Vyne Dental.
Submit supporting documentation to an existing authorization
For general PA requests, use the following cover sheet when submitting supporting documents to an already existing authorization: For example, when responding to a pend for additional information, or an existing approved authorization requires a billing code or NPI update.
For drugs submitted through the pharmacy point-of-sale (POS) system, a barcode coversheet is not required. Submit supporting documentation by:
- If supporting documentation was requested by HCA on a drug or drug class specific form, fax the form as the first page followed by the supporting documentation; OR
- If HCA did not fax a specific form, fax a completed Pharmacy Information Authorization (HCA 13-835A) form as the first page followed by supporting documentation.
Step 5: Check the status of an authorization or retrieve correspondence
Learn how to check authorization information in ProviderOne.
- Check the status of an authorization
- Retrieve correspondence for an authorization
- Appendix G
- Checking status through our interactive voice response (IVR) system starts on slide 24.
Submitting prior authorization for medical and dental services (webinar presentation slide deck)
Expedited prior authorization (EPA)
The EPA process is designed to eliminate the need for written requests for prior authorization for selected services/items.
- To view a list of qualifying services, download our EPA inventory.
- For pharmacy POS expedited authorization (EA) codes, criteria and EA guidelines, see the Prescription Drug Program Expedited Authorization List on the program provider guides webpage.
Criteria
Following certain criteria, the agency allows for use of an EPA. Criteria are explained in each of the program provider guides.
Guidelines
- The EPA number must be used when the provider bills the agency.
- Upon request, a provider must provide documentation to the agency showing how the client's condition meets all the criteria for EPA.
- A written request for prior authorization is required when a situation does not meet all the EPA criteria.
- The agency may recoup any payment made to a provider if the provider did not follow the required EPA process and if not all of the specified criteria were met.
Note: By entering an EPA number on your claim, you attest that all the EPA criteria are met and can be verified by documentation in the client's record. These services are subject to postpayment review and audit by the agency or its designee.
Contact
Toll-free: 1-800-562-3022
- Medical equipment (ME): ext. 15466
Hours: Tuesday through Thursday, 8 a.m. to noon
- Medical: ext. 15471 and ext. 52018
Hours: Tuesday through Thursday, 8 a.m. to noon
- Pharmacy: ext. 15483
Hours: Monday through Friday, 8:30 a.m. to 4:30 p.m.
- Dental: ext. 15468
Hours: Tuesday through Thursday, 8 a.m. to noon
Prior authorization fax line:
- General Requests: 1-866-668-1214
- Pharmacy POS requests: 1-833-991-0704
Related forms and publications
- Pharmacy Information Authorization
- Appendix F - Instructions to fill out the General Information for Authorization Request form
- Appendix G - How to check status of an authorization
- Appendix H - Cover sheets for backup documentation
Related links
- Pharmacy prior authorization
- First Steps (maternity and infant care) prior authorization
- ProviderOne Billing and Resource Guide
- Provider webinars
- Provider fact sheets
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