Prior Authorization Requirements

Community First Health Plans (CFHP) requires that certain services be authorized prior to being rendered.

Please review CFHP’s Prior Authorization Process for a detailed description of the different authorization processes, including the 2021 Prior Authorization List Effective 01/01/2021.

For a full list of Prior Authorizations required for medical procedures/services by contracted and non-contracted providers, please see the 2021 Authorization CPT Codes (NEW)

For a full list of Prior Authorizations compliant with Senate Bill 1742, please see the Prior Authorizations Compliant with SB1742 list.

2020 Prior Authorization Statistics

2019 Prior Authorization Statistics