Get Nhpri Prior Authorization Forms

Services That Require Prior Authorization Durable medical equipment (such as wheelchairs) Rehabilitation (like physical or occupational therapy) Home health services (such as nurses) Non-emergency surgery (elective surgery)

What is a Prior Authorization? A prior authorization (PA), sometimes referred to as a “pre-authorization,” is a requirement from your health insurance company that your doctor obtain approval from your plan before it will cover the costs of a specific medicine, medical device or procedure.

Services That Require Prior Authorization Durable medical equipment (such as wheelchairs) Rehabilitation (like physical or occupational therapy) Home health services (such as nurses) Non-emergency surgery (elective surgery)

Prior authorization (prior auth, or PA) is a management process used by insurance companies to determine if a prescribed product or service will be covered. This means if the product or service will be paid for in full or in part.

What is a Prior Authorization? A prior authorization (PA), sometimes referred to as a “pre-authorization,” is a requirement from your health insurance company that your doctor obtain approval from your plan before it will cover the costs of a specific medicine, medical device or procedure.

As the Medical Home, PCPs should coordinate all healthcare services for NH Healthy Families members. Paper referrals are not required to direct a member to a specialist within our participating network of providers. All out of network services (excluding ER and family planning) require prior authorization.

Prior authorization (prior auth, or PA) is a management process used by insurance companies to determine if a prescribed product or service will be covered. This means if the product or service will be paid for in full or in part.

Prior Authorization requests will be reviewed and a decision rendered within 24 hours. 5. How does one check the status of a PA? Providers may contact Pharmacy Services at (877) 250-5227 or NH Healthy Families at (866) 769-3085.

As the Medical Home, PCPs should coordinate all healthcare services for NH Healthy Families members. Paper referrals are not required to direct a member to a specialist within our participating network of providers. All out of network services (excluding ER and family planning) require prior authorization.

An approved pre-authorization is not a guarantee of payment, but it is a good indication of your health plan's intentions to pay for the service or medication. As well, if you do have an approved preauthorization, your insurance is not promising that they will pay 100% of the costs.

Prior Authorization requests will be reviewed and a decision rendered within 24 hours. 5. How does one check the status of a PA? Providers may contact Pharmacy Services at (877) 250-5227 or NH Healthy Families at (866) 769-3085.

The requested clinical should be faxed to Medical Management, using the appropriate fax number for the service for which authorization is requested. Medicaid Prior Authorization Fax Numbers: Physical Health: 1-800-690-7030. Behavioral Health: 866-570-7517.

An approved pre-authorization is not a guarantee of payment, but it is a good indication of your health plan's intentions to pay for the service or medication. As well, if you do have an approved preauthorization, your insurance is not promising that they will pay 100% of the costs.

Approval from a health plan that may be required before you get a service or fill a prescription in order for the service or prescription to be covered by your plan.

The requested clinical should be faxed to Medical Management, using the appropriate fax number for the service for which authorization is requested. Medicaid Prior Authorization Fax Numbers: Physical Health: 1-800-690-7030. Behavioral Health: 866-570-7517.

Providers may also fax prior authorization forms to El Paso Health's Pharmacy Prior Authorization at 1-855-668-8553.

Approval from a health plan that may be required before you get a service or fill a prescription in order for the service or prescription to be covered by your plan.

Please contact TurningPoint phone at 1-855- 909-6222 or by fax at 1-603-836-8903. Dental services are not administered by NH Healthy Families. Non-participating providers must submit Prior Authorization for all services.

Providers may also fax prior authorization forms to El Paso Health's Pharmacy Prior Authorization at 1-855-668-8553.

Please contact TurningPoint phone at 1-855- 909-6222 or by fax at 1-603-836-8903. Dental services are not administered by NH Healthy Families. Non-participating providers must submit Prior Authorization for all services.