Prior Auth Required

00487 - pdf

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Servicepdf
Procedure / Service Description

OMH OASAS OCFS - s/hcbs_manual.pdf 2. CMS Final Rule on HCBS: https://www.gpo.gov/fdsys/pkg/FR-2014-01-16/pdf/2014- 00487.pdf

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.