048.0037.13.11

Ch. 13, § 11. Prior Authorization

Last amended: 2025Length: 57 wordsOfficial source

Cite as Medicaid Rules, Ch. 13, § 11

The Department may designate behavioral health services, such as mental health services, and substance use treatment services that require prior authorization. The failure to obtain prior authorization shall result in denial of Medicaid payment for the service. Prior authorization of medical supplies and equipment shall be governed by the prior authorization requirements of Medicaid Rules Chapter 3.
048.0037.13.11: Ch. 13, § 11. Prior Authorization | Justis AI