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Which medical treatments require prior authorization by payer?

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Which medical treatments require prior authorization by payer?

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1) Non-emergency elective inpatient hospitalization 2) Non-emergency elective inpatient surgery 3) Non-emergency elective outpatient surgery 4) Physical medicine treatments after 15 visits or 30 days, whichever comes first 5) Rental or purchase of supplies or equipment over the amount of $50 per item 6) Rental or purchase of TENs 7) Home health services 8) Pain clinic/therapy programs 9) External Spinal stimulators 10) Pain control programs 11) Work hardening programs, back schools, functional capacity testing, ISO kinetic testing 12) Referral for orthotics or prosthetics 13) Referral for acupuncture 14) Referral for biofeedback 15) Referral to psychological testing/counseling 16) Referral to substance abuse program 17) Referral to weight reduction program 18) Referral to any non-emergency medical service outside the state of Mississippi

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