Prior Authorization/Pre-Certification

To view services that require Prior Authorization for your HealthFirst HMO patients (Northern NV), click here (PDF).

To view services that require Prior Authorization for your HealthFirst HMO patients through HealthCare Partners (Southern NV), click here (PDF).

To view services that require Prior Authorization for your Health Choice PPO patients, click here (PDF).

High Tech Imaging requires Prior Authorization through HealthHelp/RadConsult. To contact HealthHelp, call 877.392.0574, fax 877.392.0573 or visit www.healthhelp.com/saintmaryshealthplans.

To request a patient Prior Authorization electronically, click here to visit our secure Provider portal.

Forms

• HealthFirst/Health Choice Prior Authorization Request form (PDF)
• Propofol Clinical Guidelines (PDF)
• Propofol Prior Authorization Request form (PDF)

For benefits, limitations and eligibility call Saint Mary’s Health Plans Member Services Provider Only Line at 775.770.6680 or 866.500.2741

Saint Mary’s Medical Management 775.770.6211 or 24-hour confidential fax 775.770.6250
Saint Mary's Health Plans Medical Director 775.770.6242