Services to be Preauthorized

DAKOTACARE requires certain procedures, services, or equipment to be preauthorized prior to coverage.  Members or providers should contact DAKOTACARE before services are provided to ensure they have been notified of an admission or provision of service in order that the Medical Necessity of the admission or service may be determined.

Below you will find the most current lists of services and durable medical equipment requiring preauthorization or items that are not covered.  These are subject to change at any time, so if you question whether preauthorization is necessary, please contact DAKOTACARE.

If you have any questions, please feel free to call Customer Service at 334-4000 or 1-800-325-5598. Customer Service will forward your call for those items that require Medical Management assistance.

DAKOTACARE Services to be Preauthorized pdf (85k)

DAS Services to be Preauthorized pdf (89k)

DAKOTACARE Durable Medical Equipment (DME) Preauthorization Requirements pdf (109k)

DAS Durable Medical Equipment (DME) Preauthorization Requirements pdf (109k)

Durable Medical Equipment (DME) No Preauthorization Required pdf (90k)

Durable Medical Equipment (DME) Items Not Covered pdf (84k)