Prior Authorizations
Please review prior authorization requirements below and check plan benefits.
Prior Authorization Requirements
Medical and Behavioral Health
Current:
- Effective 12/1/25 - Medical and Behavioral Health Prior Auth Requirements
Upcoming:
- Effective 1/1/26 - Medical and Behavioral Health Prior Auth Requirements
Durable Medical Equipment (DME)
Current:
- Effective 10/1/25 - DME Prior Authorization Requirements
Upcoming
Pharmacy
Medical Benefit, Medically Administered Drugs
Current:
- Effective 10/1/25 - Medical Pharmacy Prior Authorization Requirements
Upcoming:
- Effective 1/1/26 - Medical Pharmacy Prior Authorization Requirements
Does your code require prior authorization?
Access THP's secure MyPlan Provider Portal to begin your request.
To view past prior authorization requirements, visit the provider portal - Authorizations.
Did you know? THP's provider communications notify you about upcoming prior authorization requirements.
Sign up for provider communications on the provider portal.