Referral, Notification & Authorization

• Overview

Referral

• Referral Policy and Procedures
• When a Referral is Not Required

Notification

• Notification Policy
• Elective Admission Notification
• Emergent Department/Urgent Admission Notification
• NICU Notification Policy
• Non-Invasive Airway Assist Devices (CPAP, APAP, and BiPAP) and Related Sleep Therapy Supplies Notification Policy
• When a Notification is Not Required

Prior Authorization Policies

• Prior Authorization Policy
• Please see the Medical Management Prior Authorization Medical Review Criteria page for additional prior authorization information.

Forms

Forms: Medication Prior Authorization Request

• Medical Drug Program (CVS Health—NovoLogix)