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Authorization Grids are now available for Medicare, Medicaid, Child Health Plus, and NY State of Health Marketplace plans, and are effective for dates of service occurring on or after the dates below.
Authorization Grid Detail, Effective January 1, 2019 (PDF)
Authorization Grid Detail, Effective September 1, 2018 (PDF)
Authorization Grid Detail, Effective July 1, 2018 (PDF)
Authorization Grid Detail, Effective June 1, 2018 (PDF)
Authorization Grid Detail, Effective May 1, 2020 (PDF)
Access the eviCore utilization management system.
Provider manuals, tip sheets, important forms, and applications.
Formularies, utilization management programs, general pharmacy updates, and specialty drug programs.
Verify member eligibility, check claims status, and more.