Medical Policies
Related Policies and Procedures
Utilization Management Program Description
Emergency Services: Retrospective Authorization
Medical Policy Development and Application of Criteria in Utilization Management
Outpatient Observation versus Inpatient and Midnight Rule
Standing Referrals to Specialists
Treatment Authorization Request: Authorization Process and Timeline Standards
Health Services Approval Process
Direct Specialty Referral Policy
Direct Specialty Referral Form
VCHCP's Referrals and Prior Authorization Process
Services Requiring Prior Authorization
Diagnostic Studies requiring Prior Authorization
Pre-Authorization Treatment Authorization Form
Retro Treatment Authorization Form
Prescription Drug Prior Authorization Request Form - Effective 12/2016
Prescription Drug Prior Authorization Request Form Legislation