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Prior authorizations


Custodial care authorizations


These are applicable to members who are not receiving skilled services and are waiting for long-term care benefits. 


Next steps:

  • Complete the Prior Authorization form. For custodial requests, we need the actual date of admission and prior coverage payer information.
  • Fax it with clinical documentation and completed Preadmission Screening and Resident Review (PASRR) to our prior authorization fax line at 1-860-860-8056 for review. 
  • We’ll respond with the authorization as quickly as possible.