If a client requests services that are not Medicaid covered services is prior authorization required?
No. Requests for prior authorization made by clients at any time will be returned. Requests for non-Medicaid covered services by clients that have been provided will be returned. Providers who elect to provide non-Medicaid covered services to Medicaid recipients must ensure that they have obtained written informed consent from clients in advance of rendering non-Medicaid covered services. The consent must contain laymen language written at the sixth grade level stating the client understands and accepts responsibility for payment for the rendered non-Medicaid covered services prior to delivery of the service.
