Salir
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Authorizations
Sign on to view authorizations*
To view authorizations, you will be asked to sign on to our secure provider tools A new page will open in your browser window.
Authorization policies
Learn about our authorizations policies, including process and procedures, denials, and appeals.
Medical coverage policies
Learn about our medical coverage policies - referral guidelines for providers.
Download our authorization policies* to learn more about our utilization management and authorizations process, including:
- the role of the Provider Service Center, our centralized authorization and referral department
- referral policies and procedures
- hospital and facility admissions
- case management
- denials and appeals
We provide medical coverage policies - referral guidelines as a reference for health care professionals within the Kaiser Permanente Medical Care Program. The Kaiser Permanente Mid-Atlantic States medical coverage policies may provide details about referring patients for treatment, including the following:
- diagnosis
- indications
- contraindications
- measures prior to referral
- clinical indications for referral
- optional approaches
If you would like to receive a hard copy of the Medical Coverage Policy, UM criteria/protocol or Affirmation Statement, please contact the Utilization Management Operations Center at 1-800-810-4766 and follow the prompts.