DAKOTACARE requires the provider to submit requests for the following services that require preauthorization to be covered. This information is not all inclusive and not considered complete until members eligibility and plan coverage is confirmed.
Medical Products and Services Requiring Preauthorization
2019 Medical Services Requiring Preauthorization
Pharmacy Services and Drugs Requiring Preauthorization
To determine if a drug requires preauthorization, please review the following:
Preauthorization Forms for Clinical Review
Preauthorization Forms for Drugs
NOTE: Members may contact DAKOTACARE before products and services are provided to ensure we have been notified.
If you have further questions or need clarification, call toll-free at 1-800-658-5508.
Preauthorization forms and documentation can be faxed to DAKOTACARE at 1-605-274-3279 or send a secure email to HealthServices@DAKOTACARE.com.