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Prior Authorization

Prior Authorization

Most benefits plans require members to have prior authorization before they are admitted to a hospital, skilled nursing facility or rehabilitation facility, or before they receive a 23-hour observation stay, home health services, home infusion therapy, and certain outpatient services. If prior authorization is not obtained, members will often have to pay all or a larger share of costs for that care.

Please use these payroll stuffers and poster/handouts in your workplace to help educate your employees - particularly those who work outside of Tennessee - about prior authorization. Just print out and distribute the materials, or include the information in your company newsletter or bulletin board system.

pdf file Many of the publications on this site require the Adobe Acrobat Reader in order to view them.

Page Modified:May 18, 2012