Physical and Behavioral Health Services

Prior Authorization Services Instructions

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Prior Authorization Tool

To check on a specific service or procedure, use one of the the Prior Authorization Tools linked below. 

Carolina Complete Prior Authorization

To check on a specific physical health service or procedure for Trillium Tailored Plan members, use this Pre-Authorization Tool. Providers should also review the Clinical Coverage Policy for specific details on services and procedures.

Trillium Prior Authorization

To check on a specific behavioral health service or procedure for Trillium Tailored Plan members, use this Pre-Authorization Tool. Providers should also review the Clinical Coverage Policy for specific details on services and procedures.
 

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