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Pre-Auth Check

Use our tool to see if a pre-authorization is needed. It's quick and easy. If an authorization is needed, you can log into the secure Provider Portal and submit online.

Updated Inpatient & Post-Acute Care Guidelines for Trillium Medicaid Providers 

To support increased access to care during the COVID-19 pandemic, Trillium Community Health Plan and Wellcare By Trillium Advantage will process all inpatient and post-acute care requests according to the below guidelines: 

LOBLong Term Acute Care HospitalDME under $500SNFHHDischarge RxReview Date/End Date
Trillium MedicaidNo PA requiredNo PA requiredNo PA required, SNF to notify health plan of admissionNo PA requiredNo PA for discharge prescriptions for 1 fillReview in December 2022

 

Pre-Auth Check Tool - OHP | Medicare