
Overview of Referrals and Prior Authorizations
PCP Services NOT Requiring Prior Authorization
Specialty Care Services NOT Requiring Prior Authorization – PSN Specialists
Prior Authorization – Hospital & Facility Based Services
Prior Authorization – Preventive Care Services
Prior Authorization – Radiology Services
Prior Authorization – Injectable Medications
Prior Authorization – Lab and Pathology Services
Prior Authorization – Physical Therapy
For EmblemHealth Behavioral Health members: visit Carelon Behavioral Health.
For Humana members: visit humana.com
For Aetna members: visit aetna.com
For Elderplan members: visit elderplan.org
For Fidelis Care members: visit fideliscare.org
For Anthem members: visit anthembluecross.com
For Health Plus members: visit anthembluecross.com/ny/medicaid
For Centers Plan for Healthy Living members: visit anthembluecross.com/ny/medicaid
For UnitedHealthcare members: visit uhc.com/medicare
For VillageCareMAX members: visit villagecaremax.org
Overview of Referrals and Prior Authorizations
PCP Services NOT Requiring Prior Authorization
Specialty Care Services NOT Requiring Prior Authorization – PSN Specialists
Prior Authorization – Hospital & Facility Based Services
Prior Authorization – Preventive Care Services
Prior Authorization – Radiology Services
Prior Authorization – Injectable Medications
Prior Authorization – Lab and Pathology Services
Prior Authorization – Physical Therapy