Treatment & Referral Authorization Requirements

Please make sure to use the most up-to-date Treatment Authorization Form that was revised in April 2014!

Effective Saturday, September 1, 2007, all claims submitted without required prior authorizations will be automatically denied.

Refer to the NEMS MSO Utilization Management Authorization Grid for a list of procedures that require prior authorization.

Informational letters have been mailed out to all contracted providers.