...Prior Authorization Request Form (coming soon). Home and Community Based Services (HCBS)/Waiver providers should submit the HCBS/Waiver Provider Prior Authorization Request Form (coming soon). Nonparticipating Providers Prior authorization must be...

...form to us. Please allow up to 30 days to process the hard-copy form. Member Consent/HIPAA Authorization Form– Use this form to give your consent to share your health information...