NORTH DAKOTA HEALTH CARE REVIEW, INC.
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Preauthorization Areas
100% screening of admissions to Triumph Hospital, Long Term Acute Care Hospitals
100% required Cosmetic Procedures
Ear Procedures - Nose Procedures - Mammoplasties/Gynecomastectomies - Facial Surgery
100% Obesity Procedures
Please follow the links listed below to access more information about the Medicaid Preauthorization Process:
Memo Issued January 2007
Memo Issued January 2008
Preauthorization Criteria
Card containing Preauthorization Procedure codes
Procedures Requiring Preauthorization
Request for Preadmission/Preprocedure Authorization
Preauthorization Checklist
Elective Cosmetic Surgery Criteria
Bariatric Surgery Criteria
*approved Medicaid procedure updated 01/08*
Medicaid Preauthorization Process Flow Chart
Medicaid Preauthorization Reconsideration Process Flow Chart
Retrospective Review of Claims where preauthorization was not obtained
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