Requesting authorizations for post-acute care services

Prior authorization requests for admission to (or concurrent stay in) a skilled nursing facility (SNF), an inpatient acute rehab facility (IRF), or a long-term acute care hospital (LTACH) for Medicare Advantage Individual, Group Retirees, and most Dual-Eligible Plan members are reviewed by Carelon Post Acute Solutions (CPAS). These requests should not be submitted through Availity. To prevent any misrouting of members’ care information, please use the process below to submit requests.

How to submit or check a prior authorization request

Go to portalct.mynexuscare.com to get started. You can upload clinical information and check the status of your requests through this online tool seven days a week, 24 hours a day. If you are unable to use the link, you can call the CPAS Provider Call Center at 844-411-9622 during normal operating hours from 7 a.m. to 7 p.m. CT, Monday through Friday.

Note: Authorization requests for Highly Integrated Dual Eligible (HIDE), Fully Integrated Dual Eligible (FIDE), MMP, and Risk plan members should be directed to Anthem.

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