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Prior Authorization

Ambetter Prior Authorization Information Requests **Will open into new window

Absolute Total Care’s Medical Management Department hours of operation are 8 a.m. to 6 p.m. (EST), Monday through Friday (excluding holidays).

Medical Management Telephone: 1-866-433-6041 (TTY: 711)

24/7 Nurse Advice Line

Our nurse advice line is a 24-hour nurse line for members. Our registered nurses provide basic health education and nurse triage, as well as answer questions about urgent or emergency access. To speak to a registered nurse, please call 1-866-807-4490 directly or call Member Services at 1-866-433-6041 (TTY: 711) and say “Nurse”.

A PCP referral is NOT required for a member to see an Absolute Total Care network specialist. However, Absolute Total Care recommends that members always check with their PCP before going to a see a specialist. PCPs should refer members to the appropriate specialist for care.

**EMERGENCY ROOM AND POST STABILIZATION SERVICES NEVER REQUIRE PRIOR AUTHORIZATION**

Fax Number Reference Guide Phone Number
Absolute Total Care Medicaid Face Sheets 866-653-6349
Absolute Total Care Medicaid Assessments 866-653-6961
Absolute Total Care Medicaid Inpatient Requests 866-653-6349
Absolute Total Care Medicaid Medical Records 866-653-6349
Absolute Total Care Medicaid Prior Authorization 866-912-3606
Absolute Total Care Medicaid Census Report 866-653-6349
Absolute Total Care Pharmacy Buy & Bill Prior Authorizations 866-865-9469
Absolute Total Care Inpatient Behavorial Health PA
866-535-6974
Absolute Total Care Outpatient Behavioral Health PA 866-694-3649
Absolute Total Care Care Transplants 866-535-6974

**Please see current provider manual for any exclusions**