New Fax Numbers for Prior Authorizations

The Optima Health utilization management team is reorganizing to serve you better. Effective October 19th prior authorizations will be processed by two distinct teams, Government Programs and Commercial Plans. Each team will manage separate telephone and fax lines.

Download a printable version of this information to share with authorization staff

Authorizations for Medical and Medical Drug Benefits

Optima Medicare and Medicaid Authorizations

Government Programs: 1-(888) 946-1167. Send prior authorization forms to the new fax number listed on the authorization form or use the Provider Portal.

Related plans:

• Optima Medicare HMO (Part C)
• Optima Medicare HMO D-SNP (Part C)
• Optima Family Care (FAMIS and Medicaid XP)
• Optima Health Community Complete (MLTSS)

Note: Prior authorization forms, telephone and fax numbers for ARTS or CMHRS programs will remain the same.

Commercial Plan Authorizations

Medical Care Services: 1-800-229-5522. Send prior authorization forms to the new fax number listed on the authorization form or use the Provider Portal.