Prior authorization requirements (payers' public prior authorization lists) 2026-10-25.2
0 added, 0 changed, 9,267 retired. Effective 2026-10-25; published 2026-10-26, 22.2 h after the source.
Changed records
| Record | Change |
|---|---|
| aetna:medicare_advantage:15820:15820::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:medicare_advantage:15821:15821::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:medicare_advantage:15822:15822::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:medicare_advantage:15823:15823::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:medicare_advantage:15824:15824::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:medicare_advantage:15824:15824::required::aetna-precert-list-2026:p9r17 | retired |
| aetna:medicare_advantage:15825:15825::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:medicare_advantage:15825:15825::required::aetna-precert-list-2026:p9r17 | retired |
| aetna:medicare_advantage:15826:15826::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:medicare_advantage:15826:15826::required::aetna-precert-list-2026:p9r17 | retired |
| aetna:medicare_advantage:15828:15828::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:medicare_advantage:15828:15828::required::aetna-precert-list-2026:p9r17 | retired |
| aetna:medicare_advantage:15830:15830::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:medicare_advantage:15832:15832::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:medicare_advantage:15833:15833::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:medicare_advantage:15834:15834::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:medicare_advantage:15835:15835::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:medicare_advantage:15836:15836::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:medicare_advantage:15837:15837::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:medicare_advantage:15838:15838::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:medicare_advantage:15839:15839::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:medicare_advantage:15847:15847::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:medicare_advantage:15876:15876::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:medicare_advantage:15877:15877::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:medicare_advantage:15878:15878::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:medicare_advantage:15879:15879::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:medicare_advantage:17380:17380::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:medicare_advantage:17380:17380::required::aetna-precert-list-2026:p9r17 | retired |
| aetna:medicare_advantage:19120:19120::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:19316:19316::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:medicare_advantage:19318:19318::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:medicare_advantage:19318:19318::required::aetna-precert-list-2026:p9r17 | retired |
| aetna:medicare_advantage:19318:19318::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:medicare_advantage:19325:19325::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:medicare_advantage:19328:19328::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:medicare_advantage:19330:19330::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:medicare_advantage:19340:19340::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:medicare_advantage:19342:19342::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:medicare_advantage:19350:19350::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:medicare_advantage:19355:19355::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:medicare_advantage:19357:19357::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:medicare_advantage:19364:19364::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:medicare_advantage:19370:19370::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:medicare_advantage:19371:19371::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:medicare_advantage:19380:19380::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:medicare_advantage:19396:19396::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:medicare_advantage:21010:21010::required::aetna-precert-list-2026:p11r27 | retired |
| aetna:medicare_advantage:21050:21050::required::aetna-precert-list-2026:p11r27 | retired |
| aetna:medicare_advantage:21060:21060::required::aetna-precert-list-2026:p11r27 | retired |
| aetna:medicare_advantage:21070:21070::required::aetna-precert-list-2026:p11r27 | retired |
| aetna:medicare_advantage:21073:21073::required::aetna-precert-list-2026:p11r27 | retired |
| aetna:medicare_advantage:21120:21120::required::aetna-precert-list-2026:p11r27 | retired |
| aetna:medicare_advantage:21121:21121::required::aetna-precert-list-2026:p11r27 | retired |
| aetna:medicare_advantage:21122:21122::required::aetna-precert-list-2026:p11r27 | retired |
| aetna:medicare_advantage:21123:21123::required::aetna-precert-list-2026:p11r27 | retired |
| aetna:medicare_advantage:21125:21125::required::aetna-precert-list-2026:p11r27 | retired |
| aetna:medicare_advantage:21127:21127::required::aetna-precert-list-2026:p11r27 | retired |
| aetna:medicare_advantage:21141:21141::required::aetna-precert-list-2026:p11r27 | retired |
| aetna:medicare_advantage:21142:21142::required::aetna-precert-list-2026:p11r27 | retired |
| aetna:medicare_advantage:21143:21143::required::aetna-precert-list-2026:p11r27 | retired |
| aetna:medicare_advantage:21145:21145::required::aetna-precert-list-2026:p11r27 | retired |
| aetna:medicare_advantage:21146:21146::required::aetna-precert-list-2026:p11r27 | retired |
| aetna:medicare_advantage:21147:21147::required::aetna-precert-list-2026:p11r27 | retired |
| aetna:medicare_advantage:21150:21150::required::aetna-precert-list-2026:p11r27 | retired |
| aetna:medicare_advantage:21151:21151::required::aetna-precert-list-2026:p11r27 | retired |
| aetna:medicare_advantage:21154:21154::required::aetna-precert-list-2026:p11r27 | retired |
| aetna:medicare_advantage:21159:21159::required::aetna-precert-list-2026:p11r27 | retired |
| aetna:medicare_advantage:21193:21193::required::aetna-precert-list-2026:p11r27 | retired |
| aetna:medicare_advantage:21194:21194::required::aetna-precert-list-2026:p11r27 | retired |
| aetna:medicare_advantage:21195:21195::required::aetna-precert-list-2026:p11r27 | retired |
| aetna:medicare_advantage:21196:21196::required::aetna-precert-list-2026:p11r27 | retired |
| aetna:medicare_advantage:21198:21198::required::aetna-precert-list-2026:p11r27 | retired |
| aetna:medicare_advantage:21199:21199::required::aetna-precert-list-2026:p11r27 | retired |
| aetna:medicare_advantage:21206:21206::required::aetna-precert-list-2026:p11r27 | retired |
| aetna:medicare_advantage:21208:21208::required::aetna-precert-list-2026:p11r27 | retired |
| aetna:medicare_advantage:21209:21209::required::aetna-precert-list-2026:p11r27 | retired |
| aetna:medicare_advantage:21210:21210::required::aetna-precert-list-2026:p11r27 | retired |
| aetna:medicare_advantage:21215:21215::required::aetna-precert-list-2026:p11r27 | retired |
| aetna:medicare_advantage:21240:21240::required::aetna-precert-list-2026:p11r27 | retired |
| aetna:medicare_advantage:21242:21242::required::aetna-precert-list-2026:p11r27 | retired |
| aetna:medicare_advantage:21243:21243::required::aetna-precert-list-2026:p11r27 | retired |
| aetna:medicare_advantage:21244:21244::required::aetna-precert-list-2026:p11r27 | retired |
| aetna:medicare_advantage:21245:21245::required::aetna-precert-list-2026:p8r11 | retired |
| aetna:medicare_advantage:21246:21246::required::aetna-precert-list-2026:p8r11 | retired |
| aetna:medicare_advantage:21247:21247::required::aetna-precert-list-2026:p11r27 | retired |
| aetna:medicare_advantage:21248:21248::required::aetna-precert-list-2026:p8r11 | retired |
| aetna:medicare_advantage:21249:21249::required::aetna-precert-list-2026:p8r11 | retired |
| aetna:medicare_advantage:21255:21255::required::aetna-precert-list-2026:p11r27 | retired |
| aetna:medicare_advantage:21270:21270::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:medicare_advantage:21270:21270::required::aetna-precert-list-2026:p9r17 | retired |
| aetna:medicare_advantage:21480:21480::required::aetna-precert-list-2026:p11r27 | retired |
| aetna:medicare_advantage:21485:21485::required::aetna-precert-list-2026:p11r27 | retired |
| aetna:medicare_advantage:21490:21490::required::aetna-precert-list-2026:p11r27 | retired |
| aetna:medicare_advantage:21497:21497::required::aetna-precert-list-2026:p11r27 | retired |
| aetna:medicare_advantage:22102:22102::required::aetna-precert-list-2026:p14r37 | retired |
| aetna:medicare_advantage:22103:22103::required::aetna-precert-list-2026:p14r37 | retired |
| aetna:medicare_advantage:22210:22210::required::aetna-precert-list-2026:p14r37 | retired |
| aetna:medicare_advantage:22212:22212::required::aetna-precert-list-2026:p14r37 | retired |
| aetna:medicare_advantage:22214:22214::required::aetna-precert-list-2026:p14r37 | retired |
| aetna:medicare_advantage:22216:22216::required::aetna-precert-list-2026:p14r37 | retired |
Records are keyed as the API keys them (codes without the dot). JSON: GET /v1/changes?dataset=payer-prior-auth&version=2026-10-25.2 (Builder plan and up).