Ambetter provides the tools and support you need to deliver the best quality of care.
- Pre-Auth Needed?
- Prior Authorization Guide
- Inpatient Prior Authorization Fax Form
- Outpatient Prior Authorization Fax Form
- Authorization and Coverage Complaints
- Prior Authorization Request Form for Non-Specialty Drugs
- Prior Authorization Request Form for Specialty Medication
- Discharge Consultation Form
- Electroconvulsive Therapy (ECT) Authorization Request Form
- Intensive Outpatient/Day Treatment Form
- OTR Completion Tip Sheet
- Outpatient Treatment Request Form
- Psychological or Neuropsych Testing Authorization Request Form
- SMART Goals Fact Sheet
Claims and Claims Payment