Prior Authorization Requirements to be Reinstated

Prior Authorization Requirements To Be Reinstated October 1, 2021

Prior Authorizations for all services except behavioral healthcare previously extended to June 30, 2021 will be extended through September 30, 2021.

Effective October 1, 2021, prior authorization requirements will be reinstated for all services except for behavioral healthcare services. Effective January 1, 2022, prior authorizations will be reinstated for behavioral healthcare services. For those services that require a prior authorization, providers will need to proactively ensure that members’ services are authorized prior to providing them. To review the list of services that require prior authorization, please see

Source: https://eohhs.ri.gov/sites/g/files/xkgbur226/files/2021-07/pu343.pdf