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What You Need to Know About Preauthorization

Your doctor or other healthcare provider can request the the renewal of an existing preauthorization at least 60 days before a preauthorization expires. Health plans must review and decide on a renewal request before the existing preauthorization expires if practicable.

Health plans must post preauthorization requirements on their websites.

  • Postings of preauthorization requirements must include a list of the healthcare services that require preauthorization.
  • Changes to preauthorization requirements must be given to you before the changes take effect.

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