An approved referral (prior authorization) is required for:
- All care outside of the Yale Health Center
- Allergy Department
- Diagnostic Imaging
- 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
- 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.