Authorization Grids

Authorization Grids are now available for Medicare, Medicaid, Child Health Plus, NY State of Health Marketplace plans, and Fully Integrated Duals Advantage (FIDA) and are effective for dates of service occurring on or after the dates below.

Medicaid, Child Health Plus, and HealthierLife (HARP)

Medicare

Metal-Level Products

Essential Plan

Fully Integrated Duals Advantage (FIDA)