GLO-PRV-Authorization-Clear Coverage-Hide Clear Coverage app and remove links

The NYS Executive Order #4Open a PDF has been extended to December 26, 2021. We will suspend preauthorization requirements for dates of service September 27, 2021 – December 26, 2021 for scheduled hospital surgeries and admissions, hospital outpatient services, home health care services following a hospital admission and inpatient and outpatient rehabilitation services following a hospital admission for fully insured members and self-insured groups that have opted in. Submission of the completed state-approved certification formOpen a PDF is required. Please continue to notify us of all inpatient admissions and discharges to ensure continuity and coordination of care.
CareAdvance Expedited Requests: If an authorization is an expedited request, the provider must call Medical Intake with a case number to expedite.

Request Authorization

  1. Check the patient's benefits & coverage for plan-specific requirements.
  2. Submit your request below:

 


Safety Net:
Medicaid, Child Health Plus, Essential Plan

Online with eviCore healthcare
or call 1-866-889-8056

Note: Safety Net (excluding Essential) for MSK services only: call 1-800-363-4658

Medical Intake for Commercial and Medicare Products:
Call: 800-363-4658, or Fax: 877-203-9401

Safety Net Intake:
Call: 844-694-6411
Concurrent review can be submitted via SDS Provider Portal

Commercial & Medicare:

Call 1-800-363-4658
Once the preauthorization has been created, the call will be transferred to SNF Utilization Management for Clinical Review


Safety Net:
Medicaid, Child Health Plus, Essential Plan

Call 1-844-694-6411 or Fax 1-855-742-0127

Long Term Care Support Services (LTSS):
Call 1-844-694-6411

New to CareAdvance Provider?

CareAdvance Training Materials  

CareAdvance FAQ Open a PDF

For questions, please contact your Provider Relations Representative

Get Your Facets Provider ID

You'll need your Facets ID to use CareAdvance Provider.

How to get your ID

eviCore Healthcare Information

Get help with urgent/emergency requests, appeals process and help acessing eviCore online.

Learn more

Modal for Get Your Facets Provider ID

Modal for Behavioral Health Fax and Request Forms

Script for showNoticeAttestation Function

IE Browser Modal