Facility-based sleep studies
Preauthorization for facility-based sleep studies (PSG) is administered by HealthHelp®, a nationally recognized specialty benefit management organization. Preauthorization is required for facility-based sleep studies, unless otherwise noted below. The terms prior authorization, precertification, preadmission, preauthorization and notification all refer to the preauthorization process.
Exclusions from the preauthorization requirement include the following:
- Florida Medicare Advantage (MA) health maintenance organization (HMO) members
- Atlanta MA HMO members
- Health Care Partners MA HMO members
- MA HMO-POS and MA PPO out-of-network services
- MA Private Fee-for-Service (PFFS) plans
For MA PFFS plans and MA HMO-POS and MA PPO out-of-network services, notification is requested, not required.
Please note: Preauthorization requests for Florida Medicaid members’ facility-based sleep studies (PSG) should be submitted using the instructions on this page.