Prior authorization (pre-auth) is a utilization management process used by some health insurance companies to determine coverage for prescribed procedures, services, or medications. The process can take 3-6 weeks, varying by insurance company.

1. 1

   Determine Required Forms by Insurance Type

   • Medicaid: Use form MSA16-80b
     
   • Blue Cross Complete: Access via portal under documents
     
   • Molina/UHC: Complete form on the portal
     
   • PPO insurance/Delta Dental/DentaQuest:
     1. Select TX plan
        
     2. Select what needs pre-auth
     3. Click process
     4. Print/submit pre-auth
     5. Print now
        
2. 2

   Prepare Supporting Documents

   • Print a full mouth x-ray or panoramic x-ray to attach to the pre-auth form
   • For Medicaid, include a tooth chart as well
3. 3

   Complete Forms

   Fill out all forms with doctor, practice, and patient information

4. 4

   Submit to Insurance Companies

   • Medicaid (MDHHS): PO Box 3014, Lansing, MI 48909
   • Healthy Michigan Dental (BCC): PO Box 2819, Detroit, MI 48202
   • DentaQuest: PO Box 2906, Milwaukee, WI 43206