Services Requiring Preauthorization

DAKOTACARE works hard to make using your health insurance easy. We’ve created some of the most comprehensive individual and group health insurance plans in the state of South Dakota. However, there are some services that require preauthorization to be covered.

You can access that list here. Please note, if you do not obtain preauthorization for any of the following services, your plan is under no obligation to pay the costs associated with the procedure or service. 

Email the link to your preauthorization search results.

 

Services Requiring Preauthorization

DAKOTACARE requires certain procedures, services, or equipment to be preauthorized prior to coverage.  Members or providers should contact DAKOTACARE before services are provided to ensure they have been notified of an admission or provision of service in order that the Medical Necessity of the admission or service may be determined.

Below you will find the most current lists of services and durable medical equipment requiring preauthorization or items that are not covered.  These are subject to change at any time, so if you question whether preauthorization is necessary, please contact DAKOTACARE.

DAKOTACARE Services to be Notified *NEW

DAKOTACARE Services to be Preauthorized (For plans beginning or renewing in 2014)

DAKOTACARE Services to be Preauthorized (For plans beginning or renewing in 2015)

DAKOTACARE Durable Medical Equipment (DME) Preauthorization Requirements

 


 

DAS Services to be Notified *NEW

DAS Services to be Preauthorized (For plans beginning or renewing in 2014)

DAS Services to be Preauthorized (For plans beginning or renewing in 2015)

DAS Durable Medical Equipment (DME) Preauthorization Requirements

 


 

Durable Medical Equipment (DME) No Preauthorization Required

Durable Medical Equipment (DME) Items Not Covered