Medical Authorizations
Prior Authorization Forms
*1 Optima Health Medicaid and Medicare Advantage plans include Optima Family Care, Optima Health Community Care, Optima Medicare Value (HMO), Optima Medicare Prime (HMO), Optima Medicare Classic (HMO), and Optima Community Complete (HMO D-SNP).
Reconsideration Form
- Behavioral Health Optima Health Community Care Pre-Authorization Reconsideration Form
- Optima Health Community Care Pre-Authorization Form
- Pre-Authorization Reconsideration Form