Prior Authorization

Prior Authorization Forms

Please complete prior authorization forms for your Individual and Family plan, Medicare Advantage plan, and US Family Health (USFH) plan.

Individual and Family Plan 

Medicare Advantage Plan

US Family Health Plan (USFHP)

Prior Authorization Lists

CHRISTUS Health Plan has prior authorization requirements for some covered services.  Please refer to the attached lists and contact Member Services by calling the following phone lines for any questions regarding the list.

For Individual and Family Plan (Texas and Louisiana) prior authorization inquiry, call:1-844-282-3025, 711 for TTY

For MA prior authorization inquiry, call:1-844-282-3026 TTY at 711

For US Family Health Plan prior authorization inquiry, call:1-800-678-7347 , 711 for TTY

2020

2019