Prior Auth Required

02717 - F- ), when applicable

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / ServiceF- ), when applicable
Procedure / Service Description

• All PA requests for personal care worker (PCW) services must include - more hours in a single day, per iCare operational requirements; o Electronic Visit Verification (EVV) Live-In Exemption Form (Form F-02717), when applicable. • Incomplete submissions may result in processing delays or denial.

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.