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Specialty Care Services NOT Requiring Prior Authorization – Preferred Specialists

For Preferred Specialists

Most services performed by a Preferred Specialist in the office setting can be reimbursed without obtaining Prior Authorization.

The following office-based services do not require prior authorization. If you plan to offer a service not found on this list you will need to submit a Prior Authorization request to HCP for review.

Services not requiring Prior Authorization for Preferred Specialists

Specialty Care Services Requiring Prior Authorization: Non-HCP Preferred Specialist

Prior Authorization must be obtained in advance by the PCP for all services performed by a Non-HCP Preferred​ Specialist​ unless delivered during a medical emergency.