Medicaid Authorization Requirement Changes Effective October 1, 2021

Date: 09/23/21

Trillium Community Health Plan (Trillium) is implementing changes to the prior authorization requirements for Oregon Health Plan (OHP) products, as outlined below. See the table for all HCPC or CPT codes affected by these changes. These codes will no longer require prior authorization for coverage for Trillium OHP members effective 10/1/21.
 
Accessing prior authorization look-up tool
We recommend providers use the OHP Pre-Auth Check Tool to see if a PA is needed. 
 
Additional information  
Providers are encouraged to access Trillium’s provider portal online for real-time information, including eligibility verification, claims status, prior authorization status, plan summaries, and more.

If you have questions regarding the information contained in this update, contact the Trillium Provider Services Center at 1-877-600-5472.