Prior Authorization

The Department of Rehabilitation Services (DRS) Prior Authorization process assesses the availability of health/dental services to the DRS client and authorizes the most appropriate care prior to the provision of these services. DRS requires prior authorization for all services or the services will be denied payment by DRS.

Prior Authorizations are initiated by the DRS Counselor assigned to the client’s case. The Prior Authorization contains the Counselor’s contact information as well as information about the provider, the client and specifies the health/dental services that are authorized. Prior authorizations are based on the exact procedural coding (CPT/HCPCS, ADA, ASA, etc) specified by DRS for each service when prior authorization is obtained. If any additional services are deemed necessary by the provider, the additional services and procedure codes must be prior authorized by the DRS Counselor or payment for these services will be denied.