Medicaid Referrals

Effective May 6^th, 2019, the referral requirement for members to see a GI, GU, ENT, Cardiac, Ortho specialist is no longer required.

Specialists claims submitted with a Date of Service May 6^th, 2019 or after will not require a referral in order to be paid.

News and Announcements:

• Referral Requirement, Ambulatory Surgery Optimization, and NIA Facility Selection Program (PDF)