Please note that authorization letters from BHCP and Optum will not be available for viewing or printing in ProAuth. For these letters, you must log into their respective portals to access and print the authorizations they manage.
Referral and authorization information for treatments including prescriptions, step therapy, behavioral and mental health treatment, and more.
Drug & Biologics Changes for January 1, 2025 |
Prior authorization is required for all Step Therapy drugs, preferred and non-preferred.*
*The only preferred drugs not requiring authorization are:
Reminder: Effective July 1, 2024 prior authorization for the following PET and SPECT imaging services will be required for Generations Advantage and USHFP members.
ProAuth will be open to receive requests for these services on Monday, June 17th.
New Authorization Requirements | Cardiac |
New authorization requirements for Generations Advantage and USFHP:
New Authorization Requirements | Non-Cardiac |
New authorization requirements for USFHP and Continuing authorization requirements for Generation Advantage, but no longer submitted to eviCore:
Best Practice: Enter the Practice Location of the requesting provider into the Requesting Provider field and to enter the Requesting Provider's name in the Notes
See step-by-step instructions for entering your imaging requests here: ProAuth™ Instructions for PET and SPECT Imaging
For prescriptions, please visit our Pharmacy page:
For mental health/substance abuse services, call BHCP:
Starting November 1, 2024, you will be able to enter referrals to participating specialists through ProAuth. For more information tap on the following link to visit our referral program page:
Make sure you are signed in to view step-by-step instructions to ensure you have entered all information needed to have your referral immediately approved USFHP ProAuth™ Referral Entry Instructions: