Select the applicable authorization matrix below:
Hometown Health / Senior Care Plus Medical Benefit Drug Matrix
Commercial Medical Preferred Drug List
Medicare Medical Preferred Drug List
Hometown Health HMO, PPO, EPO and Senior Care Plus Authorization Matrix
Radiation Therapy Codes
Radiology and Cardiology Therapy Codes
Pain Management Codes
Self Funded Authorization Matrices – Effective 01/01/2026 – Includes Renown Health, Carson Tahoe Health, Douglas County School District, Atlantis, Caesars, and Nevada Department of Corrections (NDOC)
Nevada Department of Corrections (NDOC) Claims Letter