Refugee Medical Assistance Program (RMA)
Payer ID# PCU02
The following must be Pre-certified:
- Inpatient care
- Any surgery
- Care in extended care facility
- Hospice care
- Home health services
- Chiropractic care
- Physical therapy
- Occupational therapy
- Speech therapy
- Chemotherapy
- Hemodialysis
- Cardiac Nuclear Scan
- Sleep Studies
- Durable medical equipment
- Residential Treatment Facility/Substance Abuse Treatment
- Artificial limbs
- Prosthetic Devices
- Computerized Tomography (CT Scan)
- Magnetic Resonance Imaging (MRI)
- Positron Emission Tomography (PET)
- Human Organ/Tissue transplants
- Radiation Therapy
- High-Cost Medications/Specialty Medications
- Dentures* (only available for states AR, KS, KY, ME)
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.