- plan documents
- 2022 Referral List for Illinois
2022 Referral List for Illinois
Note: For members with an Advocate Physician Partners (APP) PCP, referrals and authorizations will be managed by APP. Please work with the member's PCP to submit authorizations and referrals to APP.
You need a referral for:
C
Cardiologist
Cardiovascular surgeon
Colon and rectal surgeon
D
Dermatologist (Visit 6 and beyond)
Dialysis
E
Endocrinologist
G
Gastroenterologist
Genetic counselor
Gynecologic oncologist
H
Hand surgeon
Hematologist
Hepatologist
Hospice and palliative medicine specialist
I
Infectious disease specialist
Interventional cardiologist
M
Medical geneticist
N
Nephrologist
Neurological surgeon
Neurologist
O
Occupational medicine specialist
Occupational therapist (Referral required for initial evaluation)
Oncologist
Oral surgeon (Maxillofacial surgeon)
Orthopedic surgeon
Otolaryngologist (Ear, nose, and throat specialist)
P
Pain management specialist
Physiatrist
Physical therapist (Referral required for initial evaluation)
Plastic surgeon
Pulmonologist
R
Radiation oncologist
Reproductive endocrinologist
Rheumatologist
S
Sleep disorders specialist
Speech therapist (Referral required for initial evaluation)
Spinal cord injury specialist
Sports medicine specialist
Surgeon
T
Thoracic surgeon
U
Urologist
V
Vascular surgeon
You don't need a referral for:
A
Acupuncturist
Addiction psychiatrist
Allergist (Immunologist)
Anesthesiologist
Audiologist
C
Cardiac electrophysiologist
Certified diabetes educator (CDE)
Certified nurse-midwife
Certified nursing assistant (CNA)
Certified professional midwife
Certified registered nurse anesthetist (CRNA)
Chiropractor
Critical care medicine specialist
D
Dentist
Dermatologist (Visits 1-5)
E
Emergency medicine specialist
F
Family medicine physician
Forensic pathologist
G
General practitioner
Geriatric medicine specialist
Gynecologist
H
Hospitalist
I
Internist
L
Licensed mental health counselor
Licensed nurse (LPN or LVN)
N
Nurse practitioner (NP)
O
Obstetrician
Ophthalmologist
Optician
Optometrist
P
Pathologist
Perinatologist
Pharmacist
Physician assistant (PA)
Podiatrist
Psychiatric nurse
Psychiatrist
Psychologist
R
Radiologic technologist
Radiologist
Recreational therapist
Registered dietitian (RD)
Registered nurse (RN)
Respiratory therapist (RT)
S
Social worker