H0015 prior authorization | Anthem Blue Cross and Blue Shield Virginia
H0015, Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment p, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- H0015
- Description
- Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment p
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 66 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization