NY Manual
SHP Manual

New York Provider Manual
X Medicare Member Reimbursement Form | XI-B Pre-authorization Guidelines - Leaf Plans

Appendix XI — Preauthorization Guidelines by Service Type

Appendix XI-A — Preauthorization Guidelines for Healthfirst Medicaid, Child Health Plus, Medicare, and CompleteCare Plans

Preauthorization is not a guarantee of payment. Benefits are determined by the member’s eligibility.
Policies are subject to change. Written formal referrals are not required for Healthfirst Medicaid, Child Health Plus, Medicare, and CompleteCare members to receive care from in-network specialists.