Specialty network access forms (SNAF) information
Priority Health Government Programs has fully implemented the SNAF process in our Health Management department. This applies to Priority Health Medicaid.
All staff members have been trained on how the process works for the use of public entities for specialty care. The following steps are followed:
- All providers referring for specialty care must first exhaust all efforts to find an in-network provider for the member's care.
- If no care is available in-network, or the timeline to receive care is too long, and the member's need is critical and if the in-network provider cannot accommodate the member's need, we allow them to use the SNAF process and contact the public entity.
- The standard Priority Health referral form is completed by the PCP office and sent to the Health Management department.
The Health Management team will make the determination on where the referral will go based on availability of specialty care. They will contact the PCP office and provide them with the authorization number. The PCP completes the access form, and forwards it to the appropriate public entity.
First choice is generally to use MSU subspecialists due to their central location and business agreement with Priority Health. The specialists are listed on the MSU Specialty Access form.
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