Sharp Health Plan has gathered a library of clinical guidelines and health resources to make delivering quality care easier than ever.
Sharp Health Plan's Prior Authorization Guide makes it easier to determine when prior authorization is required for a particular service. Note that these guidelines are specific to services for members enrolled in an HMO plan and assigned to providers who are independently contracted with Sharp Health Plan.
Use our helpful guide below to determine when prior authorization is needed for a specific behavior health and chemical dependency service.
If your service requires prior authorization, please fill out this form and fax it to 1-619-740-8111 to receive approval.
Not sure if a member needs a referral, authorization, or notification prior to receiving care? Use this guide to quickly find out whether you need to fill out forms and how to submit them.
We’ve adopted a series of guidelines to help your team improve your patients' health.
Find out the American Academy of Pediatrics’ and American Congress of Obstetrician and Gynecologists’ most recent recommendations on quality care for pregnant women and their babies.
Get the U.S. Preventive Services Task Force’s independent advice for how often members should receive preventive care.
See which vaccines the Advisory Committee for Immunization Practices (ACIP) recommends for members based on their age and other characteristics.
Learn how to help members get access to the services they need for diagnosis and treatment of behavioral health conditions.
Find out how members can access acupuncture or chiropractic services through American Specialty Health.
Get helpful reminders about how to comply with the timely access laws, which outline maximum wait times for telephone calls and appointment requests.
Learn how to help members get covered outpatient prescription drugs from local, Sharp Health Plan-contracted pharmacies.
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