Authorization Grid

Need to know what services and procedures need required authorizations?

Use our Provider Grid to determine what prior authorization requirments are applicable for various plans like Medicaid, Child Health Plus, MetroPlus Gold, Medicare and Fully Integrated Duals Advantage (FIDA).

PLEASE NOTE: Effective November 16, 2018, MetroPlus is transitioning utilization for high-tech radiology services and will require notification and authorization for a number of high-tech radiology services. Learn more here.

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  Effective Date: 11/01/2018
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