Medicaid Pre-Auth

Utilization Management Reviews ensure our members get the right care, at the right time, in the right setting. Prior authorization is required before certain services are rendered to confirm medical necessity as defined by the member’s plan.

Use the Meridian tool to see if a pre-authorization is needed. If an authorization is needed, you can access our login to submit online. Please note some pre-service reviews are supported by Meridian Vendor partners. For a list of applicable services and supporting vendors, see the Vendor Solutions table below.

All Out of Network requests require prior authorization except emergency care, transportation, out-of-area urgent care or out-of-area dialysis and codes that state “No authorization required”. For non-participating providers, Join Our Network.