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:29875:29875::required::aetna-precert-list-2026:p10r23 | retired |
| aetna:medicare_advantage:29876:29876::required::aetna-precert-list-2026:p10r22 | retired |
| aetna:medicare_advantage:29876:29876::required::aetna-precert-list-2026:p10r23 | retired |
| aetna:medicare_advantage:29877:29877::required::aetna-precert-list-2026:p10r22 | retired |
| aetna:medicare_advantage:29877:29877::required::aetna-precert-list-2026:p10r23 | retired |
| aetna:medicare_advantage:29879:29879::required::aetna-precert-list-2026:p10r22 | retired |
| aetna:medicare_advantage:29879:29879::required::aetna-precert-list-2026:p10r23 | retired |
| aetna:medicare_advantage:29914:29914::required::aetna-precert-list-2026:p7r4 | retired |
| aetna:medicare_advantage:29915:29915::required::aetna-precert-list-2026:p7r4 | retired |
| aetna:medicare_advantage:29916:29916::required::aetna-precert-list-2026:p7r4 | retired |
| aetna:medicare_advantage:30140:30140::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:30400:30400::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:medicare_advantage:30400:30400::required::aetna-precert-list-2026:p9r17 | retired |
| aetna:medicare_advantage:30410:30410::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:medicare_advantage:30410:30410::required::aetna-precert-list-2026:p9r17 | retired |
| aetna:medicare_advantage:30420:30420::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:medicare_advantage:30420:30420::required::aetna-precert-list-2026:p9r17 | retired |
| aetna:medicare_advantage:30430:30430::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:medicare_advantage:30430:30430::required::aetna-precert-list-2026:p9r17 | retired |
| aetna:medicare_advantage:30435:30435::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:medicare_advantage:30435:30435::required::aetna-precert-list-2026:p9r17 | retired |
| aetna:medicare_advantage:30450:30450::required:2024-08-01:aetna-bh-precert-list:p5r4 | retired |
| aetna:medicare_advantage:30450:30450::required::aetna-precert-list-2026:p9r17 | retired |
| aetna:medicare_advantage:30520:30520::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:31253:31253::required::aetna-precert-list-2026:p9r16 | retired |
| aetna:medicare_advantage:31254:31254::required::aetna-precert-list-2026:p9r16 | retired |
| aetna:medicare_advantage:31255:31255::required::aetna-precert-list-2026:p9r16 | retired |
| aetna:medicare_advantage:31256:31256::required::aetna-precert-list-2026:p9r16 | retired |
| aetna:medicare_advantage:31257:31257::required::aetna-precert-list-2026:p9r16 | retired |
| aetna:medicare_advantage:31259:31259::required::aetna-precert-list-2026:p9r16 | retired |
| aetna:medicare_advantage:31267:31267::required::aetna-precert-list-2026:p9r16 | retired |
| aetna:medicare_advantage:31276:31276::required::aetna-precert-list-2026:p9r16 | retired |
| aetna:medicare_advantage:31287:31287::required::aetna-precert-list-2026:p9r16 | retired |
| aetna:medicare_advantage:31288:31288::required::aetna-precert-list-2026:p9r16 | retired |
| aetna:medicare_advantage:31295:31295::required::aetna-precert-list-2026:p9r15 | retired |
| aetna:medicare_advantage:31296:31296::required::aetna-precert-list-2026:p9r15 | retired |
| aetna:medicare_advantage:31297:31297::required::aetna-precert-list-2026:p9r15 | retired |
| aetna:medicare_advantage:31298:31298::required::aetna-precert-list-2026:p9r15 | retired |
| aetna:medicare_advantage:33206:33206::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:33207:33207::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:33208:33208::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:33212:33212::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:33213:33213::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:33214:33214::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:33221:33221::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:33224:33224::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:33225:33225::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:33227:33227::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:33228:33228::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:33229:33229::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:33230:33230::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:33231:33231::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:33240:33240::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:33249:33249::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:33262:33262::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:33263:33263::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:33264:33264::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:33270:33270::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:33271:33271::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:33272:33272::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:33273:33273::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:33274:33274::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:33275:33275::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:33285:33285::unclear::aetna-precert-list-2026:p7r6 | retired |
| aetna:medicare_advantage:33289:33289::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:33340:33340::unclear::aetna-precert-list-2026:p7r6 | retired |
| aetna:medicare_advantage:33882:33882::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:33975:33975::required::aetna-precert-list-2026:p14r41 | retired |
| aetna:medicare_advantage:33978:33978::required::aetna-precert-list-2026:p14r41 | retired |
| aetna:medicare_advantage:33979:33979::required::aetna-precert-list-2026:p14r41 | retired |
| aetna:medicare_advantage:33981:33981::required::aetna-precert-list-2026:p14r41 | retired |
| aetna:medicare_advantage:33990:33990::required::aetna-precert-list-2026:p14r41 | retired |
| aetna:medicare_advantage:33991:33991::required::aetna-precert-list-2026:p14r41 | retired |
| aetna:medicare_advantage:33992:33992::required::aetna-precert-list-2026:p14r41 | retired |
| aetna:medicare_advantage:33993:33993::required::aetna-precert-list-2026:p14r41 | retired |
| aetna:medicare_advantage:36475:36475::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:medicare_advantage:36476:36476::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:medicare_advantage:36478:36478::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:medicare_advantage:36479:36479::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:medicare_advantage:36482:36482::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:medicare_advantage:36483:36483::unclear::aetna-precert-list-2026:p12r35 | retired |
| aetna:medicare_advantage:37254:37254::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:37255:37255::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:37256:37256::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:37257:37257::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:37258:37258::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:37259:37259::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:37260:37260::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:37261:37261::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:37262:37262::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:37263:37263::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:37264:37264::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:37265:37265::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:37266:37266::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:37267:37267::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:37268:37268::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:37269:37269::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:37270:37270::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:37271:37271::unclear::aetna-precert-list-2026:p16rest | retired |
| aetna:medicare_advantage:37272:37272::unclear::aetna-precert-list-2026:p16rest | 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).