Prior Authorization Documents
The following is information and forms available to submit prior authorization requests to PAOTR
Prior Authorization Request Form
Extended Care Prior Authorization Form (SNF, LTAC, REHAB)
Preferred Specialists June 2018 
Preferred SNF List July 2018 Alphabetically
PAR SNF Prior Authorization Notification Letter
PAOTR PA List Effective October 2019
Instructions for Prior Authorization
Provider Forms
These forms are made available for providers to submit initial information or changes to office information
Attestation Form current 9-19 w Nephropathy #2
Attestation Submission Procedure
Common Codes with HCC and subcatagories
Specialists/Provider References
These are tools to assist offices in identifying specialists and specialty providers contracted with UnitedHealthcare. Please see the UnitedHealthcare website (link below) for a complete list of contracted providers.
Preferred Specialists June 2018