SHARP provides precertification services as required by the plan for the following employer plans and insurance companies. If you have a patient covered with one of these groups that is needing the service listed for that group please complete a SHARP Precertification Request Form and fax to SHARP’s confidential fax number (870) 972-0036. SHARP currently utilizes InterQual clinical criteria when providing precertification services.
- Arkansas Methodist Medical Center: All Inpatient Services, CT, MRI, PET Scans
- Arkansas Glass Container Corporation: All Inpatient Services, Outpatient Surgery, Inpatient Mental Health Treatments, Skilled Nursing Facility Stays, Transplants, PET Scans, Nuclear Medicine, Home Health Care, Home Infusion Services, Hospice Care, DME’s over $1000, Diabetic Teaching, and Dialysis
- Lawrence Health Services: All Inpatient Services, Mental Health Treatment, Transplant Services, Ultrasounds for Pregnancy, Prenatal/Maternity Care, Home Health Care, Home Infusion, Hospice Care, DME over $1000, Diabetic Teaching, PET Scans, Nuclear Medicine. Imaging Services - SHARP provides precert services for Lawrence Health Group's imaging services. Do Not Call CoreCare National for the Lawrence Health Group.
- Lifestyle Health Plans (Includes SHARP CLINICS): All Inpatient Services, Outpatient Surgery, MRI, CT, PET Scans, Nuclear and Cardio Imaging (does not include x-ray/plain film and ultrasound)
- Performance Health: Hospitalizations, Inpatient Substance Abuse/Mental Disorder treatments, Skilled Nursing Facility stays, Home Health Care, Hospice Care, Durable Medical Equipment over $500, Physical, speech and/or occupational therapy, Cardiac rehabilitation therapy, Outpatient surgical procedures (other than the physician’s office), MRI/MRA/CAT/PET scans, Observation longer than 23 hours, Chemotherapy / Radiation therapy, Organ transplant, Sleep Studies, Dialysis, and Prosthetics
- St. Bernards Medical Center: All Inpatient Services, Outpatient Surgery, CT, MRI, PET Scans , **insulin pumps **Private Duty Nursing Services (**must be pre-authorized before services are rendered)
- St. Bernards Medical Practices: All Inpatient Services, Outpatient Surgery, CT, MRI, PET Scans **Private Duty Nursing Services (must be pre-authorized before services are rendered)
You can find the Pre-Certification Request form here.