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Prior Authorization – Physical and Occupational Therapy

Physical and Occupational Therapy services for HCP’s EmblemHealth patients are managed by Palladian Musculoskeletal Health, a part of eviCore Healthcare.

Access the Palladian Website to locate Physical and Occupational Therapy providers for your patients in need of these services.

The provider needs to refer the member for a P/T or O/T evaluation. The request for a referral is made to HCP via EZ-NET.

At their first appointment, your patient must have a referral for therapy. The P/T or O/T will then develop a plan of care that will be shared with Palladian. They will manage the patient’s care in collaboration with the therapist through their Utilization Management program.

Authorization for additional care will be submitted to Palladian directly by the therapist.

Claims for HCP managed members with EmblemHealth are submitted directly to Palladian Health. 

Empire Medicare Members

Empire Medicare members in need of Therapy services can visit an Empire in-Network Physical or Occupational Therapist for an initial evaluation. No Prior Authorization is required for this visit. The therapist will then submit requests for additional services to HCP for review.