node Medical prior authorization Medical prior authorization With our updated Provider Authorization Grid, you can search for a procedure by code (CPT or HCPCS), or by name to learn whether prior authorization is required. Search Authorization Grid Search Medicaid LineFinder We maintain a separate list for medical drugs and diabetic supplies: Diabetic Supply List. Submit Advanced Diagnostic Imaging and Genetic Testing prior authorization requests to Carelon Medical Benefits Management by phone at 877-291-0510, or online at Carelon’s website. Note that experimental or investigational procedures and surgeries are not covered. Criteria for prior authorization decisions Criteria may be requested by contacting our Health Services team. Criteria can be emailed, faxed, or mailed to you per your request. Email HealthServices@PacificSource.com Phone 888-691-8209TTY: 711 Fax Oregon: 541-225-3625Idaho: 208-333-1597Montana: 406-441-3378 Mail PacificSource Health Plans Attn: Health Services PO Box 7068 Springfield, OR 97475-0068 Inpatient admission notification and utilization review We require notification of all inpatient hospital admissions. Notification allows for timely and effective discharge planning as well as the identification of patients in need of case management. Submission of inpatient admission notification and utilization review must be initiated via your online provider portal, InTouch for Providers. For step by step instructions on how to submit, please reference our InTouch for Providers Resource Guide.