Providers can submit prior authorization requests via:
Portal: Provider Portal (registration is required)
Fax: 586-693-4768 for Medical Management
Fax: 512-831-5499 for Medical Drugs/Medical Specialty
Phone: 844-217-8191 (available Monday through Friday, 8:00 a.m. to 6:00 p.m. EST)
Prior authorization resources
- How to obtain a prior authorization
- Overview of services requiring authorization - see below for specific on the code list(s)
- Prior authorization FAQs
- Prior authorization medical form
- Applied Behavior Analysis (ABA) Therapy Request form - NEW FOR 10/10/24
- Prior authorization code list (3/1/25)
- Video on how to use the Ascension Insurance Utilization Management Gateway (AIUMG)