Johns Hopkins Health Plans (JHHP) is transitioning to Itiliti as the source of truth for prior authorization requirements. Both JPAL and Itiliti will be available until September 15, 2026 with the same information, after which only Itiliti will be available. Click Itiliti to access Itiliti and bookmark it for future use!
Type procedure code or description
Find procedure coverage
Johns Hopkins Health Plans • Prior Authorization Tool
Code
Modifier
Description
AMD
PP
USFHP
EHP
For cell and gene therapies, transplant conditioning regimens, and all other drugs to be administered as part of an inpatient hospital admission, submit the drug name(s) as part of the request for Inpatient admission to the Utilization Management Department. Outpatient drug authorizations, including those for hospital outpatient departments, should be sent to the Pharmacy Department.
Authorization status can change often. Please confirm the status of each procedure just before delivery of services.
JPAL may indicate more than one status for a procedure (Authorization Required/Authorization Not Required). In these cases, always request authorization prior to delivery of services.
If you copy or screenshot the authorization requirement results page, do not include member PHI but do include the version number in the upper right hand corner.
For cell and gene therapies, transplant conditioning regimens, and all other drugs to be administered as part of an inpatient hospital admission, submit the drug name(s) as part of the request for Inpatient admission to the Utilization Management Department. Outpatient drug authorizations, including those for hospital outpatient departments, should be sent to the Pharmacy Department.
Authorization status can change often. Please confirm the status of each procedure just before delivery of services.
JPAL may indicate more than one status for a procedure (Authorization Required/Authorization Not Required). In these cases, always request authorization prior to delivery of services.
If you copy or screenshot the authorization requirement results page, do not include member PHI but do include the version number in the upper right hand corner.
