The following inpatient services require preauthorization by calling PEHP at 801-366-7755 or 800-753-7754:
» Inpatient hospital medical admissions at Primary Children’s Medical Center.
» All inpatient hospital rehabilitation admissions.
» Skilled nursing facilities.
» All inpatient mental health and substance abuse admissions.
» All inpatient out-of-network, rehabilitation, skilled nursing, mental, and substance abuse admissions.
» Long-term acute care (LTAC) stays.
» Genetic testing
» Home Health Out of State or Out of Network
» Hearing Aids (Select Groups only; check your plan documents)
This list shows some common services that require preauthorization.
This list shows medical codes with applicable policies that require preauthorization.