Important Exchange Plan Prior Authorization Update

Starting Jan. 1, 2021, Exchange plans will be available in Arizona, Maryland, North Carolina, Oklahoma, Tennessee, Virginia and Washington.

Update: Prior authorization and notification requirements for ambulance services:

  • Beginning Feb. 1, 2021, prior authorization will be required for the following non-emergent ambulance services:
    • A0430, A0435 and S9960

Submitting prior authorization requests

Participating providers must submit prior authorization requests for Exchange plan members electronically (online through the Prior Authorization and Notification tool on Link or an EDI 278N). If you do not submit prior authorization requests electronically, they will not be processed.

New to the Prior Authorization and Notification tool?

You can take a self-paced overview and training course and find more detailed information at

Not registered for Link?

You’ll need to create an Optum ID. You can sign up and register today.

Need technical help?

  • Please email or call our Help Desk at 866-842-3278, option 1. Representatives are available Monday – Friday, 7 a.m. – 9 p.m. Central Time.

Questions? Please call 888-478-4760