Preauthorization Changes

Effective May 1, 2022

Vibra Health Plan (VHP) is making the following changes to our preauthorization procedures:

A Vibra Preauthorization Requirements Code List will be implemented and available on the provider page.
Beginning May 1, Durable Medical Equipment will be preauthorized based upon code and not based upon cost of item. Previously, items under $300 did not require preauthorization. Codes are defined within the Vibra Preauthorization Requirements Code List.

Please note:

Failure to obtain preauthorization for a service could result in payment reductions for the provider and benefit reductions for the member, based upon the provider’s contract and the member’s Evidence of Coverage.
Services or medications provided without preauthorization may be subject to a pre-payment, medical necessity review.

Updated October 1, 2021
H9408_WBST22_M

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