NCQA is governed by a Board of Directors that includes employers, consumer and labor representatives, health plans, quality experts, policy makers and representatives from organized medicine.
Referral & Authorization Guidelines
ODS Commercial Plans
Important notice: ODS Health Plan, Inc. has changed the referral and authorization requirements for pain management services administered by a specialist. Details...
- June 1st Prior Authorization Changes FAQ (PDF File)
- Group Plan Referral & Authorization Guidelines (PDF File)
ODS Advantage Plans
- June 1st Prior Authorization Changes FAQ (PDF File)
- ODS Advantage Authorization Guidelines (PDF File)
- AIM codes (PDF File)