Refugee Medical Assistance Program (RMA)
Payer ID# PCU02

The following must be Pre-certified:

  • Inpatient care
  • Any surgery or surgical procedure
  • Care in extended care facility
  • Hospice care
  • Home nursing care
  • Chiropractic care (TX and ME only)
  • Physical therapy
  • Occupational therapy
  • Speech therapy
  • Durable medical equipment
  • Residential Treatment Facility/Substance Abuse Treatment
  • Artificial limbs
  • Prosthetic devices
  • Computerized Tomography (CT Scan)
  • Magnetic Resonance Imaging (MRI)
  • Human Organ/Tissue Transplants
  • PET Scan
  • Cardiac Nuclear Scan
  • Chemotherapy
  • Hemodialysis
  • High-Cost Medications/Specialty Medications

This is not a comprehensive list of procedures requiring pre-certification. If unsure whether a procedure requires pre-certification, please contact rmaclinical@pointcomfort.com or Point Comfort Group at 1.844.210.2010.

PCG Travel Programs
Payer ID# PCU04

Required Pre-Notification Services:

  • Inpatient care
  • Any surgery or surgical procedure
  • Care in an Extended Care facility
  • Home Nursing Care
  • Durable Medical Equipment
  • Artificial limbs
  • Computerized Tomography (CAT Scan)
  • Magnetic Resonance Imaging (MRI)
  • Emergency Hospitalization Admission must be made within 48 hours after the admission, or as soon as reasonably possible but no later than one week after
  • Interfacility Ambulance Transfer
  • Pregnancy

This is not a comprehensive list of procedures requiring pre-certification. If unsure whether a procedure requires pre-certification, please contact clinical@pointcomfort.com or Point Comfort Group at 1.844.210.2010.

 
 

ORR Unaccompanied Childrens Programs
Payer ID# PCU01

Requests for this program are not submitted online by the servicing provider. The ORR care provider facilities are responsible for submitting authorizations to PCG.

If you need assistance locating the ORR care provider, please contact clinical@pointcomfort.com or Point Comfort Group at 1.844.210.2010. for assistance.