Temporary Changes to Referral and Authorization Processes Ending November 30, 2026
Beginning December 1, 2026, the Department will require members to complete a Single Assessment within the past 12 months before processing referrals, prior authorization requests, and continued stay reviews for children’s medium- and high-intensity services.
As previously communicated, the Department temporarily reinstated direct-to-provider referral and prior authorization processes while operational challenges with the Single Assessment process were being addressed. That temporary process will end November 30, 2026.
The Single Assessment process has stabilized significantly, with assessments now completed in an average of 7.5 business days after a request is submitted.
Thank you for your continued partnership with the Single Assessment process.