Highmark previously announced that electronic authorization requests for Pharmacy will be automatically routed to our Auth Automation Hub, effective August 11, 2023. The implementation date for this change has been delayed.

Highmark will communicate the new go-live date once a new date has been determined. Below is the original communication from July 31, 2023, that outlined the now-delayed changes.

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Effective August 11, 2023, electronic authorization requests for Pharmacy will be automatically routed to our Auth Automation Hub.

The Auth Automation Hub enables offices to submit, update, and query medical authorization requests. It features an easy-to-use interface that allows for faster reviews and greater transparency around the status of authorization requests.

As of August 11, 2023, the following authorization request types can be completed using the Auth Automation Hub, which is accessible via NaviNet^® :

Inpatient Urgent	Inpatient Non-Urgent	Outpatient
Urgent Admission Newborn	Planned Medical Planned Surgical Large Joint Procedures* Spine Surgery Procedures* Chemotherapy Skilled Nursing Facility Acute Rehab Long Term Acute Care *Highmark managed only.	Planned Medical Planned Surgical Speech Therapy CORF – Physical Therapy CORF – Occupational Therapy Home Health Care Hospice Large Joint Procedures Spine Surgery Procedures Pain Management Procedures Lab Management – Genetic Testing Advanced & Cardiac Imaging – Request Radiation Therapy – All Services Medical Drug and Chemotherapy Pharmacy

The preferred method for requesting a pharmacy authorization electronically is through CoverMyMeds. The new Auth Automation Hub is another electronic option available for providers.

Reference Guides

We have a number of step-by-step reference guides available on the Provider Resource Center (PRC) to assist you with the authorization process:

Resources

For additional resources on the Provider Resource Center, go to AUTHORIZATIONS on the left menu, and click on Procedures/Service Requiring Prior Authorization. If you need assistance regarding electronic authorization workflows, you can email us at ElecAuthSubmit@highmark.com .