Preapprovals and referrals
A preapproval is when your child’s doctor needs to ask us to approve a service before they receive it. Your child’s doctor will work with us to get the preapprovals your child needs. Please refer to the Referrals and Preapprovals page or visit our provider website for more information..
Your child may need to visit a specialist or another provider for care or services their primary care provider can’t give them. Your child doesn’t need a referral from their primary care provider to get care from other providers in our plan. This includes behavioral health services, OB/GYN care, and family planning. It’s a good idea to talk to your child’s main doctor first about other types of care they may need. He or she can tell you about other providers in our plan and help you find the care that’s right for you.