SHA, LLC (FirstCare)

SHA, LLC (FirstCare) Prior Authorization

Prior authorization is required for certain services; FirstCare’s provider guidance says requests can be submitted through the provider portal or by fax, and…

Short answer

Prior authorization is required for certain services; FirstCare’s provider guidance says requests can be submitted through the provider portal or by fax, and the provider manual notes phone contact for preauthorization. For STAR/CHIP, the provider manual…

SHA, LLC (FirstCare) publishes service-specific prior authorization guidance. Start with the payer resource below, then confirm the member's plan and the requested service before care is scheduled or submitted.

At a glance

  • Prior authorization is required for certain services; FirstCare’s provider guidance says requests can be submitted through the provider portal or by fax, and the provider manual notes phone contact for preauthorization. For STAR/CHIP, the provider manual states authorization requests are accepted from in-network and out-of-network providers. For commercial HMO/PPO, the portal is also used to view authorization status and requirements. Approval is not a guarantee of coverage.
  • Services remain subject to benefits, exclusions, eligibility, and network rules even when authorized.
  • Failure to obtain required prior authorization may lead to denial and providers may not bill members for denied services in the cited STAR/CHIP manual sections.
  • Specific prior-authorization requirements vary by product/service; use the service-code lookup in the provider portal.

Where to verify prior authorization requirements

How to submit prior authorization requests

Information commonly required

  • Clinical information supporting medical necessity
  • Diagnosis and treatment plan
  • Supporting test results or other pertinent clinical data
  • For elective/non-emergent admissions, request at least 2 working days before planned service/admission
  • For STAR/CHIP, clinicians may need to provide information sufficient to verify service, setting, and appropriateness

Turnaround notes and caveats

  • STAR/CHIP provider manual: clinical criteria are provided within 10 days of request
  • STAR/CHIP provider manual: some prior-auth determinations are reviewed through utilization review pathways; urgent/post-stabilization reconsiderations may be handled 24/7
  • Commercial HMO/PPO manual notes prior-auth notice changes are communicated to providers, but does not state a standard decision turnaround in the cited sections
  • Services remain subject to benefits, exclusions, eligibility, and network rules even when authorized.
  • Failure to obtain required prior authorization may lead to denial and providers may not bill members for denied services in the cited STAR/CHIP manual sections.
  • Specific prior-authorization requirements vary by product/service; use the service-code lookup in the provider portal.

Provider resources

Sources

FactValueSourceConfidence
Provider portal used to submit new authorization requests and view requirementsFirstCare in-network providers are encouraged to access the service code search tool via the Provider Self-Service portal to submit new authorization requests, view authorization status and view prior authorization requirements.Officialhigh
Authorization submission methodsRegistered users may log in and submit a prior authorization request electronically via the secure provider portal; alternatively, complete and fax the prior authorization request form; phone contact is also listed.Officialhigh
Clinical criteria availabilityClinical criteria are available upon request and are provided to all providers within 10 days of request.Officialhigh
Elective lead timeFor non-emergent elective admissions and procedures, contact FirstCare at least 2 working days before the planned service or admission.Officialhigh
Coverage caveatProvision of preauthorization for a specific service is not a guarantee of payment; payment is subject to covered benefit and plan conditions.Officialhigh

Last reviewed: March 27, 2026

Sources used: 2 official

Automating prior authorization work

Clark Street Health is testing early-access workflows for requirements checks, status follow-up, document routing, and staff exceptions. Payer rules and clinical decisions still need the controls defined by your practice.

Review the prior authorization workflow