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
Prior authorization code list (6/1/26)
Prior authorization code list (7/1/26)
Video on how to use the Ascension Insurance Medical Management Services UM Platform
Pharmacy prior authorization resources
Medical Drug/Medical Benefit Prior Authorization form
Medical Benefit Drug Formulary List