Is there a mechanism to obtain prior authorization over the phone?
Yes. There may be a few instances where a provider may call to see if a client qualifies to receive a service when a patient is in pain. The only services this will be permitted for are endodontic therapy (root canals) and the replacement of a filling that is less than one year old. The provider’s office should call the CTDHP provider relations number (888) 445-6665 between the hours of 8:00 AM and 5:00 PM, Monday through Friday, and have the name and NPI of the billing entity and performing provider, client’s name, and client identification number and the proposed procedure to be performed. In addition, the presence or absence of the client’s teeth should be included as well as the potential treatment plan for the client.
