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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 & Wellcare By Trillium Advantage 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: 

LOB Long Term Acute Care Hospital DME under $500 SNF HH Discharge Rx Review Date/End Date
Trillium Medicaid No PA required No PA required No PA required, SNF to notify health plan of admission No PA required No PA for discharge prescriptions for 1 fill Review in March and April 2022
Wellcare By Trillium Advantage No PA required No change No PA required, SNF to notify health plan of admission No change No change February 28, 2022

 

Pre-Auth Check Tool - OHP | Medicare