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Pre-Auth Check
The Prior Authorization Lookup Tool is designed to help teams quickly identify prior authorization requirements across plans, procedures, and services. This tool streamlines the research process by providing a single, easy-to-use location for accessing up-to-date authorization information.
Use this tool to:
- Search for authorization requirements by service, CPT code, or plan
- Reduce manual lookup time and minimize errors
- Improve workflow efficiency and support faster decision-making
- Provide consistent, accurate information to members and providers
Whether you're new to prior authorization processes or simply looking to speed up daily tasks, this tool is built to make your work clearer, faster, and more reliable.
Behavioral Health
Certificate of Medical Necessity (CMN) for DME
Medical
- Delaware Sterilization Consent Form (PDF)
- Delivery Notification Form (PDF)
- Justification of Abortion Covered by Medicaid Form (PDF)
- Inpatient Medicaid Prior Authorization Form (PDF)
- Notification of Pregnancy (NOP) Form (PDF)
- Outpatient Prior Authorization Form (PDF)
- Outpatient Prior Authorization Supplemental Form (PDF)
- Pediatric Respite Authorization Form (PDF)
Medical Injectibles
Pharmacy
- Prior Authorization Request Form for Prescription Drugs (PDF)
- Specialty Medication Prior Authorization Form (PDF)
For the full list of Provider Forms, please visit our Provider Forms webpage