Prior Authorization Team

CHP’s Prior Authorization Team ensures that services are medically necessary. It is not about preventing care, it is about providing appropriate care.

When a medical request is submitted by a facility, the Prior Authorization Team reviews the request along with the patients medical record, current clinical presentation, and treatment provided to date. Then, in collaboration with CHP’s medical director, they determine if off-site care is appropriate. They make this decision by comparing medical requests to national and community standards of care. This is a cost effective way to ensure the patients, our clients, are getting the right level of care while in under your care.