Utilization Management

As a Senior Whole Health of New York provider, you may need to prescribe necessary therapy for a member. Some of these services and/or providers require prior authorization. Please refer to the Senior Whole Health of New York MLTC Member Handbook to determine if a particular service requires authorization.

To obtain Prior Authorization, complete all sections of the Standard Prior Authorization Request Form and fax it to 1-855-818-4871. After the authorization is approved, Senior Whole Health of New York will send written confirmation to the specialist or facility in writing via mail or fax. Nonparticipating specialists or facilities can check the status of a referral or authorization or request a copy of a referral by calling Senior Whole Health of New York at 1-877-635-3101.