{"id":7404,"date":"2020-10-15T15:30:58","date_gmt":"2020-10-15T20:30:58","guid":{"rendered":"https:\/\/countycare1.wpenginepowered.com\/?page_id=7404"},"modified":"2026-03-31T09:05:42","modified_gmt":"2026-03-31T14:05:42","slug":"prior-authorizations","status":"publish","type":"page","link":"https:\/\/countycare.com\/es\/providers\/prior-authorizations\/","title":{"rendered":"Previa autorizaci\u00f3n"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"7404\" class=\"elementor elementor-7404\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c61f52c e-flex e-con-boxed e-con e-parent\" data-id=\"c61f52c\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e8055ed elementor-widget elementor-widget-heading\" data-id=\"e8055ed\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Autorizaciones previas<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-dfd0d9e elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"dfd0d9e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Algunos servicios requieren la autorizaci\u00f3n previa de CountyCare para que se emita el reembolso al proveedor.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c809ddf elementor-widget elementor-widget-text-editor\" data-id=\"c809ddf\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h6 style=\"color: rgba(112, 194, 229, 1.000);\">Todos los servicios fuera de la red y fuera del estado requieren autorizaci\u00f3n previa, excepto los servicios de atenci\u00f3n de emergencia y planificaci\u00f3n familiar.<\/h6>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-91bf26c learn-more-btn elementor-align-center elementor-widget elementor-widget-button\" data-id=\"91bf26c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/countycare.com\/wp-content\/uploads\/CountyCare-Prior-Authorizarion-Look-Up-Tool_3.24.26.xlsx\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Prior Authorization Look-up Tool<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d5e067b elementor-widget elementor-widget-text-editor\" data-id=\"d5e067b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Questions? View our FAQs or call the CountyCare Medical Management and Prior Authorization Department at 312-864-8200 \/ 855-444-1661.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-44a2c79 e-flex e-con-boxed e-con e-parent\" data-id=\"44a2c79\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b923595 elementor-widget elementor-widget-n-accordion\" data-id=\"b923595\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;default_state&quot;:&quot;all_collapsed&quot;,&quot;max_items_expended&quot;:&quot;one&quot;,&quot;n_accordion_animation_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:400,&quot;sizes&quot;:[]}}\" data-widget_type=\"nested-accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"e-n-accordion\" aria-label=\"Accordion. Open links with Enter or Space, close with Escape, and navigate with Arrow Keys\">\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-1940\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"1\" tabindex=\"0\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-1940\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Datos estad\u00edsticos de autorizaci\u00f3n previa <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"fas fa-plus\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1940\" class=\"elementor-element elementor-element-04b4b7d e-con-full e-flex e-con e-child\" data-id=\"04b4b7d\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e063fab elementor-widget elementor-widget-text-editor\" data-id=\"e063fab\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Los informes a continuaci\u00f3n brindan una descripci\u00f3n general de los datos de autorizaci\u00f3n previa para el a\u00f1o calendario anterior para los miembros de CountyCare. Este informe incluye informaci\u00f3n estad\u00edstica asociada con el n\u00famero total de solicitudes de autorizaci\u00f3n previa recibidas (p. ej., aprobaciones, denegaciones y cinco motivos principales de denegaci\u00f3n).<\/p><p><a href=\"https:\/\/countycare.com\/wp-content\/uploads\/Prior-Authorization-Statistical-Data-2022.xlsx\">Datos estad\u00edsticos de autorizaci\u00f3n previa 2022<\/a><\/p><p><a href=\"https:\/\/countycare.com\/wp-content\/uploads\/HB711-Report-Final-2023-Data-Rev-3.21.25.xlsx\">Prior Authorization Statistical Data 2023<\/a><\/p><p><a href=\"https:\/\/countycare.com\/wp-content\/uploads\/HB711-Report-Final-2024-Rev-3.25.25.xlsx\">Prior Authorization Statistical Data 2024<\/a><\/p><p><a href=\"https:\/\/countycare.com\/wp-content\/uploads\/HB711-Final-Auth-Data-CY2025_01.29.26.xlsx\">Prior Authorization Statistical Data 2025<\/a><\/p><p><a href=\"https:\/\/countycare.com\/wp-content\/uploads\/2025-CCHP-CMS-0057-F-Prior-Auth-Metrics-Updated-003_brandupdate_03.27.2026.pdf\">Prior Authorization Statistical Data 2026<\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-1941\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"2\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-1941\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Servicios m\u00e9dicos <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"fas fa-plus\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1941\" class=\"elementor-element elementor-element-6757270 e-con-full e-flex e-con e-child\" data-id=\"6757270\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6115a7c elementor-widget elementor-widget-text-editor\" data-id=\"6115a7c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Para mayor eficiencia y seguimiento m\u00e1s f\u00e1cil, env\u00ede su solicitud de autorizaci\u00f3n m\u00e9dica previa a trav\u00e9s del portal de proveedores de CountyCare. <a href=\"https:\/\/www.myidentifi.com\/\" target=\"_blank\" rel=\"noopener\">Haga clic aqu\u00ed para iniciar sesi\u00f3n y obtener m\u00e1s informaci\u00f3n<\/a>.<\/p><p>Las solicitudes de autorizaci\u00f3n m\u00e9dica previa tambi\u00e9n se pueden mandar a trav\u00e9s de un fax al <a href=\"https:\/\/countycare.com\/wp-content\/uploads\/CCH_InpatientPriorAuthorizationForm_English_092618.pdf\">Formulario de autorizaci\u00f3n previa para pacientes hospitalizados<\/a> o <a href=\"https:\/\/countycare.com\/wp-content\/uploads\/CCH_OutpatientPriorAuthorizationForm_English_092618.pdf\">Formulario de autorizaci\u00f3n previa para pacientes ambulatorios<\/a> a:<\/p><ul><li>Autorizaci\u00f3n previa para pacientes hospitalizados: 1-800-856-9434<\/li><li>Autorizaci\u00f3n previa para pacientes ambulatorios: 1-866-209-3703<\/li><li>Para conocer los criterios cl\u00ednicos y nuestras Pol\u00edticas de autorizaci\u00f3n previa, haga clic en <a href=\"https:\/\/countycare.com\/es\/providers\/clinical-criteria-for-prior-authorizations\/\">here<\/a>.<\/li><\/ul><p>Para solicitudes de autorizaci\u00f3n de oncolog\u00eda m\u00e9dica (adultos), cardiolog\u00eda, radiolog\u00eda o oncolog\u00eda radiol\u00f3gica:<\/p><ul><li>Llame al: 888-999-7713 (opci\u00f3n 1)<\/li><li>Fax: 702-726-5186<\/li><li>Click <a href=\"https:\/\/um.newcenturyhealth.com\/Account\/Logon\/frm_LogOn\" target=\"_blank\" rel=\"noopener noreferrer\">here<\/a> para visitar el portal en l\u00ednea New Century Provider.<\/li><\/ul><p>Formularios de solicitud de tratamiento:<\/p><ul><li><a href=\"https:\/\/countycare.com\/wp-content\/uploads\/CountyCare-CTR-040120.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Formulario de solicitud de tratamiento de quimioterapia<\/a><\/li><li><a href=\"https:\/\/countycare.com\/wp-content\/uploads\/CC-Cardiology-Treatment-Request-Form-Cardiac-and-Thoracic-Surgery.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Formulario de solicitud de tratamiento de cardiolog\u00eda - Cirug\u00eda card\u00edaca y tor\u00e1cica<\/a><\/li><li><a href=\"https:\/\/countycare.com\/wp-content\/uploads\/CC-Cardiology-Treatment-Request-Form-Vascular-and-Thoracic-Surgery.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Formulario de solicitud de tratamiento de cardiolog\u00eda - Cirug\u00eda vascular y tor\u00e1cica<\/a><\/li><li><a href=\"https:\/\/countycare.com\/wp-content\/uploads\/CC-Cardiology-Treatment-Request-Form-Electrophysiology.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Formulario de solicitud de tratamiento de cardiolog\u00eda - Electrofisiolog\u00eda<\/a><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-1942\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"3\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-1942\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Servicios de salud conductual <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"fas fa-plus\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1942\" class=\"elementor-element elementor-element-2dd92a5 e-con-full e-flex e-con e-child\" data-id=\"2dd92a5\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f366637 elementor-widget elementor-widget-text-editor\" data-id=\"f366637\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Para mayor eficiencia y seguimiento m\u00e1s f\u00e1cil, env\u00ede su solicitud de Autorizaci\u00f3n previa de salud conductual a trav\u00e9s del portal de proveedores de CountyCare. <a href=\"https:\/\/www.myidentifi.com\/\" target=\"_blank\" rel=\"noopener\">Haga clic aqu\u00ed para iniciar sesi\u00f3n y obtener m\u00e1s informaci\u00f3n<\/a>.<\/p><p>Las solicitudes de autorizaci\u00f3n previa de salud conductual tambi\u00e9n se pueden enviar por fax al <a href=\"https:\/\/countycare.com\/wp-content\/uploads\/CCR_BehavioralHealthPA_English_092618.pdf\">Formulario de autorizaci\u00f3n de salud conductual<\/a> a:<\/p><ul><li>Autorizaci\u00f3n de salud conductual: 1-800-498-8217<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-1943\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"4\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-1943\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Servicios de medicamentos recetados <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"fas fa-plus\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1943\" class=\"elementor-element elementor-element-3fe8d9c e-con-full e-flex e-con e-child\" data-id=\"3fe8d9c\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-07950d9 elementor-widget elementor-widget-text-editor\" data-id=\"07950d9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>CountyCare mantiene una <a href=\"https:\/\/countycare.com\/wp-content\/uploads\/FormularyDocument_Q1_2026_Final_2.26.2026.pdf\">Preferred Drug List (PDL)<\/a>, the same PDL as Illinois Medicaid and all Medicaid Health Plans in Illinois. The CountyCare PDL includes a wide variety of generic and brand name drugs. Clinicians are encouraged to prescribe from the CountyCare PDL for their patients who are members of CountyCare.<\/p><p>CountyCare works with CVS Caremark to administer pharmacy benefits, including the pharmacy prior authorization process. CountyCare requires prior authorization for select drugs on the PDL as well as ALL drugs not on the PDL. The PDL indicates which drugs require prior authorization. \u00a0Most specialty drugs are not on the PDL and require prior authorization as described below.<\/p><p>Siga estos pasos para procesar eficazmente sus solicitudes de autorizaci\u00f3n previa de farmacia:<\/p><ol><li>Complete the CVS Caremark: <a href=\"https:\/\/www.caremark.com\/portal\/asset\/Medicaid_PA_request_form.pdf\" target=\"_blank\" rel=\"noopener\">Formulario de solicitud de medicaci\u00f3n<\/a>\u00a0o <a href=\"https:\/\/countycare.com\/wp-content\/uploads\/HFS-Medicaid-Pharmacy-Prior-Authorization-Request-Form_5.6.24.pdf\">Universal PA Form<\/a>. Incluya informaci\u00f3n cl\u00ednica detallada que ayudar\u00e1 a CVS Caremark a comprender la necesidad del medicamento solicitado.<\/li><li>Env\u00ede un fax a CVS Caremark al 1-866-255-7569.<\/li><li>Una vez aprobado, CVS Caremark notifica al m\u00e9dico por fax y al miembro por carta.<\/li><li>Para solicitudes urgentes o fuera del horario de atenci\u00f3n, una farmacia puede proporcionar un suministro de la mayor\u00eda de los medicamentos para hasta 72 horas llamando a la mesa de ayuda de farmacias de CVS Caremark al: 1-800-364-6331.<\/li><li>Todas las solicitudes de autorizaci\u00f3n previa de farmacia para miembros de CountyCare deben enviarse a CVS Caremark.<\/li><\/ol><p><strong>Criterios para la cobertura de medicamentos:<\/strong><\/p><ul><li><a href=\"https:\/\/countycare.com\/wp-content\/uploads\/CountyCare-UM-Policies-Portfolio-Jan2026-1.pdf\">Directrices de autorizaci\u00f3n previa de los sistemas de atenci\u00f3n m\u00e9dica y hospitales del condado de Cook<\/a><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-1944\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"5\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-1944\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Servicios de farmacia especializada <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"fas fa-plus\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1944\" class=\"elementor-element elementor-element-d2985dd e-con-full e-flex e-con e-child\" data-id=\"d2985dd\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-8a00b5c elementor-widget elementor-widget-text-editor\" data-id=\"8a00b5c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Para enviar una autorizaci\u00f3n previa de farmacia especializada, complete el\u00a0<a href=\"https:\/\/www.caremark.com\/portal\/asset\/Medicaid_PA_request_form.pdf\" target=\"_blank\" rel=\"noopener\">Medication Request Form.<\/a><\/p><p>Env\u00ede por fax todos los formularios completos a CVS Caremark al 1-866-255-7569.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-1945\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"6\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-1945\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Servicios dentales <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"fas fa-plus\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1945\" class=\"elementor-element elementor-element-2782880 e-con-full e-flex e-con e-child\" data-id=\"2782880\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d7d2a6f elementor-widget elementor-widget-text-editor\" data-id=\"d7d2a6f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Para presentar una autorizaci\u00f3n dental previa,\u00a0<a href=\"https:\/\/www.avesis.com\/Government3\/Provider\/Index.aspx\" target=\"_blank\" rel=\"noopener\">Entre aqu\u00ed<\/a> o llamar\u00a0<a href=\"tel: 8663371594\">866-337-1594<\/a><\/p><p>Para consultar los beneficios dentales de CountyCare, haga clic en <a href=\"https:\/\/countycare.com\/wp-content\/uploads\/CountyCare_Dental_Benefit-Grid_IL_01.01.22.pdf\">here<\/a>.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-1946\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"7\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-1946\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Servicios oftalmol\u00f3gicos <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"fas fa-plus\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1946\" class=\"elementor-element elementor-element-9613a62 e-con-full e-flex e-con e-child\" data-id=\"9613a62\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-df8dc0b elementor-widget elementor-widget-text-editor\" data-id=\"df8dc0b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Para presentar una autorizaci\u00f3n previa para la vista, <a href=\"https:\/\/avesiscomm.veriben.net\/Portal\/Framework3\/Login.aspx\" target=\"_blank\" rel=\"noopener\">Entre aqu\u00ed<\/a> o llamar\u00a0<a href=\"tel: 8663371594\">866-337-1596<\/a>.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-1947\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"8\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-1947\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Clinical Criteria <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"fas fa-plus\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1947\" class=\"elementor-element elementor-element-2d78fa8 e-con-full e-flex e-con e-child\" data-id=\"2d78fa8\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2d36555 elementor-widget elementor-widget-text-editor\" data-id=\"2d36555\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>To view clinical criteria for prior authorization, click <strong><a href=\"https:\/\/countycare.com\/es\/providers\/clinical-criteria-for-prior-authorizations\/\">here<\/a><\/strong>.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>Prior Authorizations Some services require prior authorization from CountyCare for reimbursement to be issued to the provider. All out-of-network and out-of-state services require prior authorization except for Emergency Care and Family Planning Services. Prior Authorization Look-up Tool Questions? View our FAQs or call the CountyCare Medical Management and Prior Authorization Department at 312-864-8200 \/ 855-444-1661. [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":9521,"parent":7365,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"iawp_total_views":21511,"footnotes":""},"class_list":["post-7404","page","type-page","status-publish","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"https:\/\/countycare.com\/es\/wp-json\/wp\/v2\/pages\/7404","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/countycare.com\/es\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/countycare.com\/es\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/countycare.com\/es\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/countycare.com\/es\/wp-json\/wp\/v2\/comments?post=7404"}],"version-history":[{"count":0,"href":"https:\/\/countycare.com\/es\/wp-json\/wp\/v2\/pages\/7404\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/countycare.com\/es\/wp-json\/wp\/v2\/pages\/7365"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/countycare.com\/es\/wp-json\/wp\/v2\/media\/9521"}],"wp:attachment":[{"href":"https:\/\/countycare.com\/es\/wp-json\/wp\/v2\/media?parent=7404"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}