Effective January 1, 2024, the following codes will require prior authorization for Oregon Medicaid members:
- 19342
- 19370
- 19380
- 20902
- 42975
- 43281
- 43282
- 49591
- 49592
- 49593
- 49594
- 49595
- 49596
- 49613
- 49614
- 49615
- 49616
- 49617
- 49618
- 50220
- 50234
- 50380
- 58150
- 61343
- 63052
- 63053
- 63237
- 63250
- 63265
- 63266
- 63267
- 63271
- 63272
- 64451
- 64483
- 64493
- 64635
Prior authorizations can be submitted via InTouch (preferred) or faxed, using the criteria at our Medical Prior Authorization page. Prior authorization forms are available on our Documents and Forms page.