Effective May 5, 2020, per AHCA Policy Transmittal 2020-31 related to COVID-19, all Prior Authorization requirements and service limits for all Behavioral Health Services, including Targeted Case Management, are waived until further notice.

Below is Community Care Plan's list of MMA services that require prior authorization as of December 1st, 2018. Please be advised that effective September 1, 2020, a list of Healthcare Common Procedure Coding System (HCPCS) codes for medications requiring prior authorization has been added.

Please be advised that CCP no longer accepts authorization requests via fax. Providers will need to submit authorization requests via PlanLink, our provider portal, and should include all necessary clinical information.

Please note that all services rendered by out of network providers require prior authorization from Community Care Plan. 

• Services Requiring Prior Authorization

For cases where a participating provider in not available in our network or a non-participating provider is submitting the request, please use our:

• Pre-Certification/Authorization Request Form

For Behavioral Health and Substance Use Services that require prior authorization, please review our:

• Behavioral Health Authorization Guidelines

For Physician Administered Drugs, please refer to the:

• Pharmacy Services Requiring Prior Authorization