Referrals

An approved referral (prior authorization) is required for:

• All care outside of the Yale Health Center
• Allergy Department
• Dermatology
• Diagnostic Imaging
• Endoscopy
• Infusion
• Inpatient Care
• Laboratory Services
• Nutrition Counseling
• Physical Therapy
• Specialty Services

You do not need a referral for these services if rendered at the Yale Health Center:

• Acute Care
• Behavioral Health/Mental Health & Counseling Departments
• Immunization
• Obstetrics & Gynecology
• Ophthalmology/Optometry Department
• Screening mammograms

Most referrals start with your primary care provider (PCP). A referral from your PCP does not guarantee authorization. Your referral will be reviewed and you will be notified of the status.

You may also receive a referral from a provider Yale Health has authorized you to see.

Referrals authorize services for a specific service and time period. The details of the referral are communicated to the provider to whom you are referred. You should receive a notification about the status of your referral in the mail. You can also contact the Referrals Department for a copy of your referral.

Your referral notification will include:

• status of your referral (approval, denial, partial approval, etc.)
• limitations (number of visits, etc.)
• effective date 
• end date

If you need a new referral, contact the ordering provider.