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Is there a cap on services utilization even with a prior authorization?

April 26, 2017Authorization cap prior Services utilization

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Is there a cap on services utilization even with a prior authorization?

1 Answer

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A. For those services* that require a prior authorization above the service limitations, there are no caps on services; services are based on medical necessity. Prior authorizations will have limitations based on the amount and/or duration of the requested services.