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Prior Authorizations

Some services require prior authorization from CountyCare for reimbursement to be issued to the provider

All out-of-network services require prior authorization except for Emergency Care and Family Planning Services. Click here for a list of all services requiring prior authorization.

Questions? Call the CountyCare Medical Management and Prior Authorization Department at 312-864-8200 / 855-444-1661.

For efficiency and easier tracking, submit your Medical Prior Authorization request through the CountyCare Provider Portal. Click here to login and learn more.

Medical Prior Authorization requests can also be submitted by faxing the Inpatient Prior Authorization Form or Outpatient Prior Authorization Form to:

  • Inpatient Prior Authorization: 1-800-856-9434
  • Outpatient Prior Authorization: 1-866-209-3703

For Medical Oncology (adult), Cardiology, Radiology or Radiology Oncology authorization requests:

  • Call: 888-999-7713 (option 1)
  • Fax: 702-726-5186
  • Click here to visit the New Century Provider online portal.

Treatment request forms:

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