Authorization Grids


To request an authorization for services, contact your Primary Care Provider (PCP). If you need further assistance, call customer service at (888) 654-2200.


CAID Services that require prior auth list 10-01-2018 C.pdf

Medicaid CSHCS HMP Auth Grid.pdf

Medicaid DME services that require prior auth 9-13-18_v2 C.pdf