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Change to PT/OT Prior Authorization Request Submissions

Effective August 24 2018, prior authorization requests for Physical Therapy and Occupational Therapy (PT/OT) services need be submitted via our online Utilization Management Request Tool.

Beginning August 24, 2018, all member prior authorization requests for PT/OT services will no longer be accepted via our online Physical and Occupational Therapy Authorization tool.

Our online Utilization Management Request Tool is accessible on NaviNet®. Sign in to NaviNet and select Horizon BCBSNJ from the My Health Plans menu, then:

  • Mouse over Referrals and Authorizations
  • Select Utilization Management Requests

This change applies to all Horizon BCBSNJ plans.

For more information, review Frequently Asked Questions.

Published on: June 25, 2018, 06:08 a.m. ET
Last updated on: April 22, 2021, 08:11 a.m. ET