Dear Provider Partners,

Beginning Dec. 22, 2023, prior authorization for the Healthcare Common Procedure Coding System (HCPCS) codes and services listed in the table below do not require prior authorization:

 

Code	Title
H1001	Prenatal care, at-risk enhanced service; antepartum management
H1005	Prenatal care, at-risk enhanced service
H1010	Non-medical family planning education, per session

 

Removal of the prior authorization and medical necessity review for these services is part of AmeriHealth Caritas Ohio’s continued dedication to supporting providers in our shared commitment to high quality health care for our members. As a reminder, when you do need to verify whether a service requires prior authorization, use the Prior Authorization Lookup Tool on the provider website at:

https://www.amerihealthcaritasoh.com/provider/resources/prior-auth-lookup-tool.aspx.

 

Questions? Please contact your Provider Account Executive or Provider Services at 1-833-644-6001.

 

Thank you again for allowing us to serve you.