Prior Authorization

Please see below Prior Authorization requirements for individual jurisdictions.

District of Columbia Prior Authorization (PDF)

District of Columbia Continuation of Care Form (PDF)

Prior Authorization and Appeals Information and Documentation (PDF)

Product Category Domain Document
Medical Prior Authorization Medical Statistics (PDF)
Medical Drug Prior Authorization Medical Drug Statistics (PDF)
Medical - Genetic Testing Prior Authorization Carelon Statistics (PDF)
Medical - Cardiology and Radiology Prior Authorization Cardiology and Radiology (PDF)
Dental Prior Authorization Dental Statistics (PDF)
Vision Prior Authorization Vision Statistics (PDF)
Appeals Appeals Appeals Statistics (PDF)