Provider Authorization
Important Message from MetroPlusHealth to Our Providers
Helpful Resources:
Authorization Grids
last updated: August 15, 2022
Use our Provider Authorization Grid for Medical Services below to determine what prior authorization requirements are applicable for various plans like Medicaid, Child Health Plus, MetroPlusHealth Gold, and Medicare.
Download the file for Behavioral Health authorizations below.
In keeping with DFS guidance, MetroPlusHealth’s UM protocols resumed on June 22, 2020, including resuming issuing Prior Approvals and performing concurrent review.
Medical Services Prior Authorization Request Grid
BH & HCBS Services Prior Authorization Grid
Talk To Us About Questions Or Concerns
Monday–Saturday | 8 a.m.–8 p.m. (ET)
Sunday | 9 a.m. –5 p.m. (ET)
Talk To Us About Any Questions or Concerns
Monday–Saturday | 8 a.m.–6 p.m. (ET)
Sunday | 9 a.m. –5 p.m. (ET)
Topic: MetroPlusHealth Annual Public Meeting
Date/Time: Tuesday, December 13th @ 4:00PM
Zoom Webinar Information Below
Please click the link below to join the webinar:
https://metroplus-org.zoom.us/j/85027965324?pwd=bDRBTnFjeW1JZUxLQ2pHU1NZY0pnQT09
Passcode: 498808
Or One tap mobile :
Or Telephone:
Dial (for higher quality, dial a number based on your current location):
+1 646 558 8656 or +1 301 715 8592 or +1 312 626 6799 or +1 253 215 8782 or +1 346 248 7799 or 1 669 900 9128
Webinar ID: 850 2796 5324
International numbers available: https://metroplus-org.zoom.us/u/kbBFHldTq
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua.