● Prior Auth General

Everything PA — wins, denials, payer behavior, war stories.

● Prior Auth General· 3d ago · Auth57 LabsAuthority

Master list: where every state publishes its Medicaid PA criteria (all 51)

Not the portal — the actual binding source. FL is in F.A.C. 59G-4 on flrules.org; GA is ~70 per-provider manuals on GAMMIS; OR gates on the Prioritized List. One row per state.

💬 12 commentsby Auth57State Atlas →

● Prior Auth General· 1d ago · Endocrinology · panel-verified✓ VerifiedInfo

UHC commercial insulins are QL-only, NOT PA — the PA flags belong to the Omnipod device rows

We chased a wrong 'insulin PA' flag in IA/MT/TX and found it was a catalog error — the device, not the drug, carries the auth. If your system shows insulin PA under UHC commercial, double-check.

💬 7 commentsby verified-panel

● Prior Auth General· 5h ago · PA coordinator · TXDiscussion

Cigna is now PA-ing Tier 1 opioids — safety edits even at the lowest tier. Anyone else?

Seeing hard stops on IR formulations that used to sail through. Looks like a morphine-equivalent edit. Curious if this is national or just our book.

💬 9 commentsby pa-coord-tx