![]() Online: /providersĬall Carelon Behavioral Health (formerly Beacon Health Options) atĮmblemHealth Behavioral Management Programįor members in plans underwritten by EmblemHealth Plan, Inc. To see what needs authorization, use their look-up tool.Įmblem Behavioral Health Services Programįor members in plans underwritten by HIP or EmblemHealth Insurance Company (formerly HIPIC), submit requests: Utilization management for GHI PPO City of New York employees and non-Medicare eligible retirees with GHI PPO benefits is managed by Empire BCBS for inpatient and outpatient services.įor fertility prescriptions and infertility services, including artificial insemination and IVF: (Applicable to Health Insurance Plan of Greater New York (HIP) only) Skilled Nursing Facility Inpatient Rehabilitation Facility Long-Term Care Facility Home Health Care (formerly GHI)):įor questions regarding the Preauthorization process or the status of a specific request, call Customer Service at See Additional Preauthorization Procedures for GHI Practitioners for more information. See additional contacts below.Īll HIP/EmblemHealth Insurance Company (formerly HIPIC) Plans:Ĭall 86 for more information or to use the IVR system.Ĭall the Coordinated Care Intake department at WHO TO CONTACT FOR PREAUTHORIZATIONĮmblemHealth has partnered with various companies to provide special utilization management programs. See Clinical Corner for services that require Preauthorization. All providers must verify member eligibility and benefits prior to rendering non-emergency services.
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