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Provider Authorization

Important Message from MetroPlusHealth to Our Providers

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.

Helpful Resources:

Authorization Grids

Medical Services Prior Authorization Request Grid

BH & HCBS Services Prior Authorization Grid

last updated: August 15, 2022

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