Unique pre-service requirements apply for out-of-network providers, non-contracted providers, FAI customers and FEP members.

If you are a non-contracted provider or a provider outside of Iowa or South Dakota, you will be unable to use the online tool. Please use this prior approval form .

Confirm authorization requirements for FAI customers by visiting www.firstadministrators.com or by calling the customer service number listed on the ID card.

Carefully review Federal Employee Program requirements, which may be different from what is outlined in the Authorization Table.

To request authorization for services to be provided by an out-of-network or non-contracted provider, please submit using the Utilization Management Tool - Procedures and DME. See detailed instructions .