For Providers

Our contracted network providers play a vital role in delivering quality care to our members. We greatly value our partnerships and appreciate the wonderful family-oriented environment and relationships you pass on to our members. As our partner, assisting you is one of our highest priorities. We welcome your feedback and we look forward to supporting all your efforts to provide quality care to our members.

As our partner, assisting you is one of our highest priorities. For further information, please review our Provider Manual. 

Referral Authorization Guidelines

It is the policy of the Medical Management Department to authorize services in accordance with the current Summary Plan Document and Interqual Guidelines. Pre-Authorization is required, and a referral request form with a copy of the attached specific guidelines must be submitted for services that are beyond the normal Primary Care Physician's (PCPs) scope of practice or services requiring treatment by a specialist, except routine screenings.