prior authorization grids - updated July 1, 2008

Effective July 1, 2008, Lovelace (LHP) is implementing new (updated) Prior Authorization Grids to reflect some revisions to what services require a prior authorization.  These grids are effective for all services with a ‘Date of Service’ July 1, 2008 – December 31, 2008.

(Services with a ‘Date of Service’ before July 1, 2008 will be referenced off the prior authorization grid that was effective on the specified ‘Date of Service’)

(NOTICE: The Prior Auth Grids indicate what services require a prior authorization. The grids do not indicate if a procedure and/or service is a covered benefit.)

Download the Manual for the LHP Prior Authorization Grids (PDF) for use with the revised Prior Authorization Grids. New prior authorization manual posted July 1, 2008.

To retrieve the proper authorization grid, please use these options:

Step 1: Select a Plan Type Plan Type: Please Choose One: Commercial Medicaid Medicare

Step 2: Select a Plan Effective July 1, 2008, Lovelace Health Plan is implementing 2 new prior authorization grids for 2 new products: Out-of-Area and State of NM.  These grids are effective for all services with a ‘Date of Service’ July 1, 2008 – December 31, 2008 Plan: Please Select a Plan Type First

Manual for LHP Prior Authorization Grids