Ambetter from Meridian prior authorization updates effective 8/1/2024 for new American Medical Association Current Procedural Terminology codes.

Date: 05/31/24

The following new CPT Proprietary Laboratory Analyses (PLA) codes and CPT Category III codes will require prior auth, unless determined to be a non-covered service, upon their effective date of 8/1/2024. For other established codes, please use the Pre-Auth Check Tools on our websites to confirm if the code(s) requires prior authorization. Prior authorization requirements vary based on the line of business, so please select the applicable Pre-Auth Check Tool by the line of business.