Provider Prior Authorization Resources:
Cigna PPO Network*
Cigna PPO Network*
The following Prior Authorization list is not an all-inclusive list and will be updated on a periodic basis.
Providers are encouraged to review the Prior Authorization list frequently for changes.
Providers are encouraged to review the Prior Authorization list frequently for changes.
The following Prior Authorization List is not an all-inclusive list and will be updated periodically.
These services require Prior Authorization:
- Behavioral Health Services:
- Inpatient mental health hospital
- Mental health residential
- Inpatient substance abuse hospital
- Substance abuse residential
- Chiropractic
- Cochlear Implants
- Diagnostic Radiology
- Durable Medical Equipment
- Erectile Dysfunction
- Gastric Bypass
- Home Health Care
- Home Infusion Therapy
- Injectable Medications
- Acute Inpatient
- Acute inpatient rehabilitation
- Long term acute care hospital (LTACH)
- Skilled nursing facility
- Orthotics and Prosthetics
- Outpatient Procedures (select specialty outpatient procedures)
- Potential experimental and investigational
- Transplant
- Unlisted Procedures
To learn more about Cigna’s coverage policies, click here.
*The Cigna PPO Network refers to the health care providers (doctors, hospitals, specialists) contracted as part of the Cigna PPO for Shared Administration. Cigna is an independent company and not affiliated with Quartz. Access to the Cigna PPO Network is available through Cigna’s contractual relationship with Quartz. All Cigna products are provided exclusively by or through operating subsidiaries of Cigna Corporation, including Cigna Health and Life Insurance Company. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc.