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Authorizations
View our authorization policies to learn more about our utilization management and authorizations process, including:
- the role of the Provider Service Center, our centralized authorization and referral department
- referral policies and procedures
- hospital and facility admissions
- case management
- denials and appeals
We provide medical coverage policies - referral guidelines as a reference for health care professionals within the Kaiser Permanente Medical Care Program. The Kaiser Permanente Georgia medical coverage policies may provide details about referring patients for treatment, including the following:
- diagnosis
- indications
- contraindications
- measures prior to referral
- clinical indications for referral
- optional approaches
If you would like to receive a hard copy of the Medical Coverage Policy, UM criteria/protocol or Affirmation Statement, please contact Kaiser Permanente Georgia Member Services Department at 1-888-865-5813 or TTY/TDD 1-800-255-0056.