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Prior Authorization – Physical Therapy

Physical 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 Therapy providers for your patients in need of these services.

Have your patient present a prescription for Physical Therapy at their first visit, where a plan of care will be developed and shared with Palladian, who will then manage the care in collaboration with the Physical Therapist through their Utilization Management program. There is no referral or Prior Authorization required for the first visit/initial evaluation. Requests for additional care will be submitted to Palladian directly by the Physical Therapist.

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