Beginning on October 15, prior authorization for the HCPCS codes and services listed in the table below do not require prior authorization for in-network or out-of-network providers.
|
Title
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Codes
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Change
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Eff. Date
|
|
Report of pregnancy
|
T1023- Reimbursement Rate: $30.00.
*** Applicable when billed by provider types 69 and 70 who have an active MAID.
|
No prior authorization required
|
10/15/2025
|
Removal of the prior authorization and medical necessity review for these services is part of AmeriHealth Caritas Ohio's continued dedication to supporting providers in our shared commitment to high quality healthcare for our members.
As a reminder, to verify whether a service requires prior authorization, use the Prior Authorization Lookup Tool on the provider website. Remember, you can save time by submitting your medical authorizations electronically via NaviNet.
Questions? Please contact your Provider Account Executive or call Provider Services at
1-833-644-6001. | 
