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Not Managed by HCP

For EmblemHealth Behavioral Health patients: visit Beacon Health Options.

For Humana patients: visit humana.com

For Aetna® patients: visit aetna.com

For Elderplan patients: visit elderplan.org​

For Fidelis Care patients: visit fideliscare.org​​​

For Anthem patients: visit anthembluecross.com

For Health Plus patients: visit anthembluecross.com/ny/medicaid

For Centers Plan for Healthy Living patients: visit anthembluecross.com/ny/medicaid

For UnitedHealthcare patients: visit uhc.com/medicare

For VillageCareMAX patients: visit villagecaremax.org

Quick Links

 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

 

Tools

The HCP Preferred Network Specialist lookup tool

Submit a Prior Authorization/Notification

Did You Know?

You will need to know if the provider is in our Preferred Specialist Network or an HCP Primary Care Physician, your patient’s medical coverage, and the services rendered.