Expedited prior authorization (EPA) inventory
This guide provides an inventory of expedited prior authorization (EPA) criteria by code(s). Use this guide to determine the appropriate EPA number when submitting your claims.
Forms & publications
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Final transportation authorization
General information for authorization
Providers need to complete this form to initiate the prior authorization process.
HCPC drugs requiring authorization
Drugs billed under miscellaneous codes J3490, J3590, J9999 OR C9399 coverage information.
Health Home participation authorization and information sharing consent form
Patient authorization and information consent form for the Health Home program.
Download Health Home participation authorization and information sharing consent form
Download an alternate version of this form or publication
Hearing aid authorization request
Use this form to request authorization for hearing aid services.
Home health authorization request
Use this form to request authorization for home health services.
Hospice (including PPC) authorization request
Use this form to request authorization for hospice services, including PPC.
Download Hospice (including PPC) authorization request
Download an alternate version of this form or publication
Alternate language versions:
How to upload prior authorization request documents in ProviderOne
Learn how to upload prior authorization request documents into ProviderOne.
Involuntary and Voluntary inpatient hospital services FAQ
This guidance document updates frequently asked questions from providers about authorization and payment for Involuntary and Voluntary inpatient hospital services.