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www.authorization.virginiapremier.com Open in urlscan Pro
163.230.201.17  Public Scan

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URL: https://www.authorization.virginiapremier.com/
Submission: On September 22 via automatic, source certstream-suspicious — Scanned from DE

Form analysis 1 forms found in the DOM

<form>
  <!--<header>-->
  <h1>Search Virginia Premier Prior Authorization (PAL) List</h1>
  <div id="search_form">
    <div>
      <legend>
        <h3><label>1) Please select your plan:</label></h3>
      </legend>
      <fieldset>
        <select id="plan" name="plan" onchange="tb()" onclick="" required="">
          <option value="0">Please select your plan...</option>
          <option value="vphp">Virginia Premier Health Plan (Medicaid: LIFC, FAMIS, FAMIS MOMs, Medallion)</option>
          <option value="dsnp">Virginia Premier Advantage Elite (HMO SNP)</option>
          <option value="mltss">Virginia Premier Elite Plus (Commonwealth Coordinated Care Plus Plan)</option>
          <option value="mapd">Virginia Premier Medicare Advantage (HMO Gold &amp; Platinum) </option>
          <!--</header>--> 2) Input Procedure Code or Description:
        </select><span role="status" aria-live="polite" class="ui-helper-hidden-accessible"></span><input type="text" id="proc" onkeyup="caps(this)" placeholder="Input procedure code or description" style="width:400px; max-width: 100%;" disabled=""
          autofocus="" class="ui-autocomplete-input" autocomplete="off">
        <br>
        <div class="results">
          <header class="ResultsHeader">Results:</header>
          <table class="ExampleTable" style="max-width:80%">
            <tbody style="max-width:100%">
              <tr style="max-width: 50%">
                <th class="tableHeader">Procedure Code</th>
                <th class="tableHeader">Description</th>
                <th class="tableHeader">Effective Date</th>
                <th class="tableHeader">Authorization Required</th>
                <th class="tableHeader">Exception</th>
              </tr>
              <tr id="demo" style="max-width: 100%">
              </tr>
            </tbody>
          </table>
        </div>
        <br>
        <button class="SearchBtn" type="button" onclick="myPageReload()" value="Search Again">New Search</button>
      </fieldset>
    </div>
    <h1>PAL COVID-19 update 2020.03.25</h1>
    <h2>Update on Authorization Requirements</h2>
    <p>There have been some temporary changes in authorization requirements due to the coronavirus (COVID-19). For the relevant memos and more detailed information, please click the link below:</p>
    <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<a href="https://www.virginiapremier.com/information-for-healthcare-professionals-coronavirus/" target="_blank">VirginiaPremier.com/information-for-healthcare-professionals-coronavirus</a></p>
    <br>&nbsp;
  </div>
</form>

Text Content

SEARCH VIRGINIA PREMIER PRIOR AUTHORIZATION (PAL) LIST


1) PLEASE SELECT YOUR PLAN:

Please select your plan... Virginia Premier Health Plan (Medicaid: LIFC, FAMIS,
FAMIS MOMs, Medallion) Virginia Premier Advantage Elite (HMO SNP) Virginia
Premier Elite Plus (Commonwealth Coordinated Care Plus Plan) Virginia Premier
Medicare Advantage (HMO Gold & Platinum) 2) Input Procedure Code or Description:

Results:

Procedure Code Description Effective Date Authorization Required Exception


New Search


PAL COVID-19 UPDATE 2020.03.25


UPDATE ON AUTHORIZATION REQUIREMENTS

There have been some temporary changes in authorization requirements due to the
coronavirus (COVID-19). For the relevant memos and more detailed information,
please click the link below:

        VirginiaPremier.com/information-for-healthcare-professionals-coronavirus


 

HOW TO SEARCH:

 * Begin by selecting the correct Virginia Premier plan.
 * Start the search by typing the first two characters of the procedure code or
   description. Results will display beginning with the characters you entered.
   Refine the search further by entering additional characters. Only 10 codes
   will display at a time.
 * Results are displayed as: “Procedure Code”, “Description”, “Effective Date”,
   “Authorization Required” and “Exception”. N/A will appear for all Procedure
   Codes that do not carry an exception. If you receive “undefined” results,
   please check your code/description and try again.
 * Rev Codes are best found by searching by description, i.e. 'NURSING' for Rev
   Code 550, etc.
 * Begin a new search by erasing the characters in the search box or pressing
   New Search button.


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