Observation Stays No Longer Subject to Concurrent Review

FirstCare Teaming Up with Palladian Health—Effective 10/17/16

Updated Thursday, September 29, 2016

As mentioned in FirstCare’s fax communication to providers on August 31, 2016, we have contracted with Palladian Health—a spinal care management company—to revise and enhance FirstCare’s authorization process for spinal care-related services, as well as adult physical therapy (PT) and adult occupational therapy (OT). Effective October 17, 2016, Palladian Health experts will begin reviewing requests for medical necessity authorizations and provide an opinion on medical necessity to FirstCare. Our Medical Management Team will review the Palladian’s recommendations, then approve or deny the request.

Authorization Requests—Online or Fax

  • Log on to the Palladian web portal by logging on to the FirstCare Providers page and following the steps to request an authorization. Once the service code is entered, our web portal transfers the end user to the Palladian web portal.
  • To submit requests via fax, there are newly required forms which must be completed and submitted with the request. Each request should be sent to FirstCare at 1.800.248.1852 and will require a Patient Outcomes-Clinical Information Form and one of the following preauthorization checklists:
    • Neurostimulator & Pain Pump Authorization Checklist
    • PT/OT Treatment Form
    • Spinal Injections Authorization Checklist
    • Spinal Surgery Authorization Checklist
See the FirstCare Providers page for more updates and information as the launch date approaches.

If you have any questions, please email the FirstCare Provider Relations team at provider_relations@firstcare.com or contact your FirstCare Provider Relations representative at the number below:
  • Abilene area:               1.325.670.3525
  • Amarillo area:              1.800.239.5650
  • Lubbock area:             1.806.784.4380
  • All other areas:            1.800.431.7737

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