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Preauthorization List Updates

09/15/2023

EmblemHealth Preauthorization List: See Notable Changes for updates.

See revision histories for the updates to the following lists:

GHI PPO City of New York Preauthorization List

ConnectiCare Commercial Preauthorization List

ConnectiCare Medicare Preauthorization List

 

EmblemHealth/ConnectiCare Home Infusion Therapy Drug Preauthorization List

 

The Pharmacy Medical Preauthorization lists for EmblemHealth and ConnectiCare.

 

JP 63180 09/2023

Provider Update

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Also, this information is not intended to imply that services or treatments described in the information are covered benefits under your plan. Please refer to your Membership Agreement, Certificate of Coverage, Benefit Summary, or other plan documents for specific information about your benefits coverage.