PA Lookup
If you have questions about prior authorizations, please call:
Member and Recipient Service Line: 1-877-685-2415
Provider Support Service Line: 1-855-250-1539
Injection, follitropin beta, 75 IU
Authorization Guidelines
Please submit any records and any other information that you believe support the member has met the applicable medical necessity criteria to Trillium.
How to Submit
N/A - No authorization is required
Injection, ganirelix acetate, 250 mcg
Authorization Guidelines
Please submit any records and any other information that you believe support the member has met the applicable medical necessity criteria to Trillium.
How to Submit
N/A - No authorization is required
Physician management of patient home care, standard monthly case rate (per 30 days)
Authorization Guidelines
Please submit any records and any other information that you believe support the member has met the applicable medical necessity criteria to Trillium.
How to Submit
N/A - No authorization is required
Physician visit at member's home, outside of a capitation arrangement
Authorization Guidelines
Please submit any records and any other information that you believe support the member has met the applicable medical necessity criteria to Trillium.
How to Submit
N/A - No authorization is required
1E-6 Pregnancy Management Program
The Pregnancy Management Program (PMP) (formerly Pregnancy Medical Home - PMH) is a care program with a set of mandatory standards and clinical initiatives aimed at improving the quality of pregnancy care, improving maternal and infant outcomes, and reducing health care costs. The PMP encourages adoption of the best prenatal, pregnancy, and perinatal care for Medicaid beneficiaries. Unlike the PMH program, there is no enrollment requirement for the PMP. All providers eligible to bill NC Medicaid (Medicaid) for obstetric services are considered participating PMP providers. A key feature of the PMP is the continued use of the standardized screening form to identify and refer women at risk for an adverse birth outcome to the Care Management for High-Risk Pregnancies (CMHRP) program, a more intense set of care management services that is coordinated and provided by Local Health Departments (LHDs). Together, these two programs work to improve the overall health of women and newborns across the state. All PMP providers shall be required to ensure appropriate coordination with LHD care managers for the sub-set of their practice population who receive CMHRP services. To allow the PMP to stay abreast of PMP beneficiary medical needs, LHD care managers shall provide the PMP alerts, including: emergency department (ED) visits, visits to a specialist, and missed appointments.
Authorization Guidelines
If your request is for outpatient Durable Medical Equipment, Personal Care Service, or Private Duty Nursing, see the Carolina Complete Health site for specific requirements. If your request is NOT for outpatient Durable Medical Equipment, Personal Care Service, or Private Duty Nursing, please submit any records and any other information that you believe support the member has met the applicable medical necessity criteria to Trillium.
Conditional Requirements
If your request is for outpatient Durable Medical Equipment, Personal Care Service, or Private Duty Nursing, please submit request to Carolina Complete Health. If your request is NOT for outpatient Durable Medical Equipment, Personal Care Service, or Private Duty Nursing, please submit request to Trillium.
Age Group Details
PMP providers are not required to obtain prior approval for any obstetrical ultrasound.
Place of Service
Inpatient hospital, Outpatient hospital, Office.
Additional Service Specifics
Telehealth Claims: Modifier GT must be appended to the CPT or HCPCS code to indicate that a service has been provided via interactive audio-visual communication. This modifier is not appropriate for virtual patient communications or remote patient monitoring.
How to Submit
If your request is for outpatient Durable Medical Equipment, Personal Care Service, or Private Duty Nursing, please submit request to Carolina Complete Health. If your request is NOT for outpatient Durable Medical Equipment, Personal Care Service, or Private Duty Nursing, please submit request to Trillium.
Resources
1E-6 Pregnancy Management Program
The Pregnancy Management Program (PMP) (formerly Pregnancy Medical Home - PMH) is a care program with a set of mandatory standards and clinical initiatives aimed at improving the quality of pregnancy care, improving maternal and infant outcomes, and reducing health care costs. The PMP encourages adoption of the best prenatal, pregnancy, and perinatal care for Medicaid beneficiaries. Unlike the PMH program, there is no enrollment requirement for the PMP. All providers eligible to bill NC Medicaid (Medicaid) for obstetric services are considered participating PMP providers. A key feature of the PMP is the continued use of the standardized screening form to identify and refer women at risk for an adverse birth outcome to the Care Management for High-Risk Pregnancies (CMHRP) program, a more intense set of care management services that is coordinated and provided by Local Health Departments (LHDs). Together, these two programs work to improve the overall health of women and newborns across the state. All PMP providers shall be required to ensure appropriate coordination with LHD care managers for the sub-set of their practice population who receive CMHRP services. To allow the PMP to stay abreast of PMP beneficiary medical needs, LHD care managers shall provide the PMP alerts, including: emergency department (ED) visits, visits to a specialist, and missed appointments.
Authorization Guidelines
If your request is for outpatient Durable Medical Equipment, Personal Care Service, or Private Duty Nursing, see the Carolina Complete Health site for specific requirements. If your request is NOT for outpatient Durable Medical Equipment, Personal Care Service, or Private Duty Nursing, please submit any records and any other information that you believe support the member has met the applicable medical necessity criteria to Trillium.
Conditional Requirements
If your request is for outpatient Durable Medical Equipment, Personal Care Service, or Private Duty Nursing, please submit request to Carolina Complete Health. If your request is NOT for outpatient Durable Medical Equipment, Personal Care Service, or Private Duty Nursing, please submit request to Trillium.
Age Group Details
PMP providers are not required to obtain prior approval for any obstetrical ultrasound.
Place of Service
Inpatient hospital, Outpatient hospital, Office.
Additional Service Specifics
Telehealth Claims: Modifier GT must be appended to the CPT or HCPCS code to indicate that a service has been provided via interactive audio-visual communication. This modifier is not appropriate for virtual patient communications or remote patient monitoring.
How to Submit
If your request is for outpatient Durable Medical Equipment, Personal Care Service, or Private Duty Nursing, please submit request to Carolina Complete Health. If your request is NOT for outpatient Durable Medical Equipment, Personal Care Service, or Private Duty Nursing, please submit request to Trillium.
Resources
Adjustment of gastric band diameter via subcutaneous port by injection or aspiration of saline
Authorization Guidelines
Please submit any records and any other information that you believe support the member has met the applicable medical necessity criteria to Trillium.
How to Submit
N/A - No authorization is required
Metal-on-metal total hip resurfacing, including acetabular and femoral components
Authorization Guidelines
Please submit any records and any other information that you believe support the member has met the applicable medical necessity criteria to Trillium.
Reauthorization Guidelines
See Evolent site for specific requirements
How to Submit
Please submit your request to Evolent
Low density lipoprotein (LDL) apheresis using heparin-induced extracorporeal LDL precipitation
Authorization Guidelines
Please submit any records and any other information that you believe support the member has met the applicable medical necessity criteria to Trillium.
How to Submit
N/A - No authorization is required
Cord blood harvesting for transplantation, allogeneic
Authorization Guidelines
Please submit any records and any other information that you believe support the member has met the applicable medical necessity criteria to Trillium.
Reauthorization Guidelines
See the Carolina Complete Health site for specific requirements
How to Submit
Please submit your request to Carolina Complete Health through Availity
MINIMALLY INVASIVE DIRECT CORONARY ARTERY BYPASS SURGERY INVOLVING MINI-THORACOTOMY OR MINI-STERNOTOMY SURGERY, PERFORMED UNDER DIRECT VISION; USING ARTERIAL GRAFT(S), SINGLE CORONARY ARTERIAL GRAFT
Authorization Guidelines
Please submit any records and any other information that you believe support the member has met the applicable medical necessity criteria to Trillium.
Reauthorization Guidelines
See the Turning Point site for specific requirements
How to Submit
Please submit your request to Turning Point
MINIMALLY INVASIVE DIRECT CORONARY ARTERY BYPASS SURGERY INVOLVING MINI-THORACOTOMY OR MINI-STERNOTOMY SURGERY, PERFORMED UNDER DIRECT VISION; USING ARTERIAL GRAFT(S), TWO CORONARY ARTERIAL GRAFTS
Authorization Guidelines
Please submit any records and any other information that you believe support the member has met the applicable medical necessity criteria to Trillium.
Reauthorization Guidelines
See the Turning Point site for specific requirements
How to Submit
Please submit your request to Turning Point
MINIMALLY INVASIVE DIRECT CORONARY ARTERY BYPASS SURGERY INVOLVING MINI-THORACOTOMY OR MINI-STERNOTOMY SURGERY, PERFORMED UNDER DIRECT VISION; USING TWO ARTERIAL GRAFTS AND SINGLE VENOUS GRAFT
Authorization Guidelines
Please submit any records and any other information that you believe support the member has met the applicable medical necessity criteria to Trillium.
Reauthorization Guidelines
See the Turning Point site for specific requirements
How to Submit
Please submit your request to Turning Point
MINIMALLY INVASIVE DIRECT CORONARY ARTERY BYPASS SURGERY INVOLVING MINI-THORACOTOMY OR MINI-STERNOTOMY SURGERY, PERFORMED UNDER DIRECT VISION; USING SINGLE ARTERIAL AND VENOUS GRAFT(S), SINGLE VENOUS GRAFT
Authorization Guidelines
Please submit any records and any other information that you believe support the member has met the applicable medical necessity criteria to Trillium.
Reauthorization Guidelines
See the Turning Point site for specific requirements
How to Submit
Please submit your request to Turning Point
MINIMALLY INVASIVE DIRECT CORONARY ARTERY BYPASS SURGERY INVOLVING MINI-THORACOTOMY OR MINI-STERNOTOMY SURGERY, PERFORMED UNDER DIRECT VISION; USING TWO ARTERIAL GRAFTS AND SINGLE VENOUS GRAFT
Authorization Guidelines
Please submit any records and any other information that you believe support the member has met the applicable medical necessity criteria to Trillium.
Reauthorization Guidelines
See the Turning Point site for specific requirements
How to Submit
Please submit your request to Turning Point
Cochlear and Auditory Brainstem Implants
A cochlear implant is an electronic medical device designed to restore some ability to perceive sounds and understand speech by individuals with severe to profound hearing loss. A cochlear implant bypasses damaged hair cells in the cochlea and stimulates the remaining nerve fibers directly through the application of electrical current. Cochlear implants have external parts and internal (surgically implanted) parts that work together to allow the user to perceive sound.
An auditory brainstem implant (ABI) is a modification of the cochlear implant in which the stimulating electrode is placed directly into the brain.
After surgery, these two devices require activation, fitting of essential external components, programming, and rehabilitation for proper function and benefit.
Authorization Guidelines
Please submit any records and any other information that you believe support the member has met the applicable medical necessity criteria to Trillium.
Limits
Postoperative activation, evaluation, and programming are covered as separate procedures only for beneficiaries ages 12 years through 20 years. Contralateral cochlear implant is considered only after successful placement of the original implant and on a case-by-case basis with documentation of medical necessity.
Simultaneous bilateral cochlear implants are covered only in the limited circumstances stated in policy.
Postoperative activation, evaluation, and programming are covered after the postoperative period for beneficiaries ages 12 months and older.
Exclusions
Aural rehabilitation for physicians is billed under Clinical Coverage Policy 10A, Outpatient Specialized Therapies.Billing unit limit: procedure codes in Section C are billed with 1 unit, except CPT 92640, which is billed as 1 unit = 1 hour.
Age Group Details
Auditory Brainstem Implants- 12 through 20 years of age, Cochlear Implants/Aural Rehabilitation/Contralateral Cochlear Implant-12 months of age and older,
Place of Service
Inpatient, Outpatient.
Additional Service Specifics
Simultaneous bilateral cochlear implants are billed with 69930 and modifier 50.
Resources
Diskectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; lumbar, single interspace
Authorization Guidelines
Please submit any records and any other information that you believe support the member has met the applicable medical necessity criteria to Trillium.
Conditional Requirements
If your request is for OUTPATIENT services, please submit the request to Evolent. If your request is for INPATIENT services, please submit the request to Trillium.
How to Submit
If your request is for OUTPATIENT services, please submit the request to Evolent. If your request is for INPATIENT services, please submit the request to Trillium.
STAT laboratory request (situations other than S3601)
Authorization Guidelines
Please submit any records and any other information that you believe support the member has met the applicable medical necessity criteria to Trillium.
How to Submit
N/A - No authorization is required
Emergency STAT laboratory charge for patient who is homebound or residing in a nursing facility
Authorization Guidelines
Please submit any records and any other information that you believe support the member has met the applicable medical necessity criteria to Trillium.
How to Submit
N/A - No authorization is required
Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (PKU); and thyroxine, total)
Authorization Guidelines
Please submit any records and any other information that you believe support the member has met the applicable medical necessity criteria to Trillium.
How to Submit
N/A - No authorization is required
If you find any wrong or out of date information on our pages, we want to know. Please email info@TrilliumNC.org with any corrections.