Outpatient Department (OPD) Prior Authorization (PA) Required Documentation

Published 06/25/2020

When submitting an OPD PA Request, the following information must to be submitted with each request:

  1. Documentation that the specific risks and benefits of the procedure were discussed with the beneficiary
  2. Documentation that alternatives and non-surgical options were discussed with the beneficiary
  3. Clear documentation that the beneficiary desires surgical correction

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