What is the pre-cert process?
The pre-cert is conducted telephonically (1-888-251-2224) with a care manager for all care that is non-ambulatory. Prior to calling to complete the pre-cert, the caller must have the clinical information, have completed a facility bed search (the location where the member will go) and have an MD medically clear the member and approve the admission. A pre-cert will not occur unless all information is presented to the care manager.