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Submitting Requests For Prior Authorization

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Preview of Medication PA Form
PDF file

Medication PA Form (Prescription_Prior_Authorization_Request_Form-2017.pdf)

221 KBktokunagaEN 3 pages
HPSJ will only accept the DMHC mandated state-wide prior authorization form (Form 61-211, revised 12/16) for medication prior authorization requests, effective
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Preview of Hospital Readmission Payment Policy
PDF file

Hospital Readmission Payment Policy (Hospital-Readmission-Payment-Policy-Eff-final-10.01.22.pdf)

403 KBAlison RossettiEN 4 pages
For multiple re
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