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 2020 Prior Authorization List Effective 01/01/2020.

For a full list of Prior Authorizations required for medical procedures/services by contracted and non-contracted providers, please see the 2020 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. 

2019 Prior Authorization Statistics