A Healthy CollaborationSM

Prior Notification

Today’s Options® does not require prior authorization; however, providers are asked to notify the plan prior to or within 48 hours of care or services being delivered. Today’s Options enrollees will incur lower cost-sharing responsibilities if prior notification is given. Additionally, upon notification, the Health and Wellness Department will outreach to the member to offer assistance and support in managing their care.

Notification is requested for non-emergency hospitalizations, non-emergency mental healthcare facility stays, outpatient/ambulatory surgeries, or durable medical equipment or device purchase of $500 or more or rental price of $250 per month or more (including prosthetic devices and diabetes self-monitoring equipment and supplies). You can notify the plan by calling us at 1-866-568-8921.

M0018_PFFSWebv5_0209 Pending CMS Approval Last updated: 4/1/2022

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