Longevityhealthplanofcolorado Prior Authorization Lookup
Latest Longevityhealthplanofcolorado prior authorization updates11
- Prior AuthClinical/Medical PolicyEff. 2025-12-12Supplemental BenefitsDefines Longevity Health Plan of Colorado's coverage criteria and prior authorization requirements for supplemental benefits (e.g., dental, hearing aids) offered to plan beneficiaries; applies to providers and members under the Plan.All longevityhealthplanofcolorado updates
- Prior AuthClinical/Medical PolicyEff. 2025-02-26Pharmacogenetic TestingCoverage criteria and prior authorization requirements for pharmacogenetic testing for Longevity Health Plan of Colorado members, including which gene–drug pairs (CPIC levels A/B) are considered appropriate. Affects providers ordering pharmacogenetic tests and labs performing them.All longevityhealthplanofcolorado updates
- Prior AuthClinical/Medical PolicyEff. 2024-03-24Coverage DeterminationsDefines Longevity Health Plan of Colorado's process for making coverage determinations, prior authorization, and evaluation of new technologies for plan beneficiaries; applies to UM decisions and providers rendering care under the Plan.All longevityhealthplanofcolorado updates
- Prior AuthClinical/Medical PolicyEff. 2024-01-04Mental Health Services Policy (Mental Health Services Coverage, Prior Authorization, and Medical Necessity Criteria)This policy governs Longevity Health Plan of Colorado's coverage, prior authorization, and medical necessity criteria for mental health services (including psychotherapy, psychological testing, and related psychiatric procedures) for plan enrollees.All longevityhealthplanofcolorado updates
- Prior AuthClinical/Medical PolicyContinuity of Care (90-day transition period)This policy governs continuity of care considerations for members newly enrolled in Longevity Health Plan of Colorado, defining a 90-day transition period and how prior authorization reviews are handled during that time.All longevityhealthplanofcolorado updates
- Prior AuthClinical/Medical PolicyDiabetic ShoesDefines prior authorization, documentation, and medical necessity criteria Longevity Health Plan uses to cover therapeutic shoes and inserts for members with diabetes; applies to providers submitting requests for beneficiaries in the Plan.All longevityhealthplanofcolorado updates
- Prior AuthClinical/Medical PolicyDurable Medical Equipment (DME)Defines coverage, prior authorization requirements, and Medicare-based coverage criteria for durable medical equipment provided for members, including a special note on Automatic External Defibrillators (Life Vest). Applies to Longevity Health Plan of Colorado members and providers seeking coverage for DME.All longevityhealthplanofcolorado updates
- Prior AuthClinical/Medical PolicyLower Extremity Invasive Diagnostic and Endovascular ProceduresThis policy governs prior authorization and medical necessity criteria for lower extremity peripheral artery revascularization services (endovascular procedures including PTA and stenting) for members of Longevity Health Plan of Colorado. It supplements and reiterates NCD 20.7 and LCD L35998 guidance.All longevityhealthplanofcolorado updates
- Prior AuthClinical/Medical PolicyNon-Emergency Ambulance Transportation (NEMT)Defines medical necessity, documentation, and prior authorization requirements for non-emergency ground ambulance transportation for Longevity Health Plan of Colorado beneficiaries, based on Medicare Benefit Policy Manual Chapter 10.All longevityhealthplanofcolorado updates
- Prior AuthClinical/Medical PolicySocial Needs Companion BenefitDefines medical necessity criteria and prior authorization requirements for Longevity Health Plan of Colorado's supplemental social needs companion benefit for members with acute behavioral or mental health needs who may benefit from short-term companionship services.All longevityhealthplanofcolorado updates
- Prior AuthClinical/Medical PolicyWound Care DressingsThis policy governs prior authorization, documentation, and coverage criteria for Part B wound care surgical dressings used by Longevity Health Plan of Colorado beneficiaries, aligning requirements to LCD L33831 and applying across the states where the plan operates.All longevityhealthplanofcolorado updates
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Tool Description
Search Longevityhealthplanofcoloradoprior authorization policies by drug name, procedure, or policy title. Results include any policy that mentions prior authorization requirements (drug coverage criteria, imaging guidelines, site-of-service rules) not just documents titled “prior authorization.” Every result links to a full policy page with clinical criteria, covered billing codes, documentation requirements, and effective dates.
Filter by payer, specialty, policy type, or effective year; or search directly for a drug (“Wegovy,” “Ozempic”), a procedure (“MRI,” “knee arthroplasty”), or a policy number.
Coverage spans 110+ payers. Jump straight to the busiest prior-auth publishers: UnitedHealthcare, Cigna, Aetna, Anthem, and Centene. You can also browse the full policy updates feed.
Pair a prior-auth search with the billing code lookup to confirm the CPT or J-code on the claim, the payer lookup for plan footprint, and payer profiles for contacts and coverage context.
FAQ
Type a drug name (“Wegovy,” “Ozempic”), a procedure (“MRI,” “knee”), or a policy title into the search bar. Filter results by payer, specialty, policy type, or effective year. Open any result for the full policy page with clinical criteria, covered billing codes, documentation requirements, and effective dates.
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Prior auth requirements change all the time. Keep up with every payer policy update in the live policy feed, or browse payers with prior authorization policies.
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