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

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

Contact Palmetto GBA JM Part B Medicare

Provider Contact Center: 855-696-0705

Email Part B

Contact a specific JM Part B department