PCPs are expected to provide primary care, preventive health, and to coordinate all specialty care services. The referral form serves to assist in coordination of care and communication with the specialty care provider. In some cases no referral or authorization is required by M CARE, however, the service may require a written order from the ordering physician. Referral Form Required M-CARE requires a referral form from the PCP for services provided by another practitioner or provider. The following services ordered by the PCP require the provider of services to call M CARE for authorization.
Some services require prior authorization for certain diagnoses.
Call M-CARE s Authorization Department to determine authorization requirements for these diagnoses. Emergency care Urgent care Hearing aid services Outpatient laboratory, radiology and diagnostic testing, when ordered by the PCP or by the specialist to whom the PCP wrote a referral.