Referral & Authorization Requirement Change
We would like to notify you of a change in the referral and authorization requirements of ODS Health Plan, Inc. for pain management services administered by a specialist.
In the past, ODS has waived the referral and authorization requirement for pain management services. For care received on or after April 1, 2007 a referral and authorization must be in place prior to accessing services in order to receive the highest level of benefits through ODS.
If you have ODS members who are currently under your care for pain management services, we encourage you to contact ODS to ensure that the appropriate referrals and authorizations are in place. We want to help you receive the highest level of reimbursement for your patients.
Additional information regarding your patient specific plan's referral and authorization requirements is available online by logging onto Enterprise Benefit Tracker (EBT). If you have any questions regarding this change, please do not hesitate to call and speak with one of our medical customer service representatives at 503-243-3962 or 877-605-3229. We are here to help.