Referrals and Authorizations
Case management
To facilitate the enrollment of patients in case management services, it is essential to submit a duly filled Case Management Referral Form. Case Management services can solely be offered upon verification of eligibility and the explicit consent of the members involved.
Prior Authorization
Devoted Health Plan
PPO Plan Only. No Referrals are required.
How to submit authorization and referrals for Devoted Health Plan Guidelines.
Please click onto the following link for online for Prior Authorizations, Appeals, and Grievances help.
https://www.devoted.com/plan-documents/medical-coverage-rightsProvider Portal via www.availity.com or fax 1-877-264-3872
Inpatient and Outpatient Services that need prior authorization
** For a complete listing of services requiring authorization, the most up to date version, please visit www.devoted.com/providers.
ACO REACH
File authorization directly with CMS or Noridian