Sentara Health Plans Prior Authorization

Coverage: Sentara Health Plans Virginia; filing facts below are commercial-only, not Medicaid or D-SNP rules.

Start with the reviewed Sentara Health Plans resources below. Confirm the member's current plan, the payer's operating status, and the requested service before scheduling care or submitting a request.

At a glance

• Use the current medical authorization guidance and prior authorization lookup tool.
• Check the product, service, network and delegated administrator. Announced November or December 2026 requirements are not active on October 30.

Where to verify prior authorization requirements

• Verification resource 1
• Verification resource 2

How to submit prior authorization requests

• Not clearly published in the researched sources.

• No direct topic-specific link was captured in the current research set.

Information commonly required

• Not clearly published in the researched sources.

Turnaround notes and caveats

• Check the product, service, network and delegated administrator. Announced November or December 2026 requirements are not active on October 30.

Provider resources

• Official provider manuals (official)
• Official policy source (official)
• Official policy source (official)
• Official policy source (official)

Sources

Update notes

Last updated: 2026-10-30.

• Verified official medical authorization, billing and manual resources, including the commercial manual linked from the October 2026 manual page. Kept commercial deadlines separate from Medicaid/D-SNP.
• The manual is hosted on Sentara’s linked Sitecore document service. Product-specific contracts and login-only details remain provider checks; future-effective notices are excluded.