Umpqua Health Providers

Documents & Forms

If you can’t find what you’re looking for below, our Customer Care team can help.

Prior Authorization Grid – Imaging

DME Vendor Grid

A list of DME vendors contracted with Umpqua Health.

Prior Authorization Grid – DME

Prior Authorization – Overview

Prior Authorization Grid – Therapies

Behavioral Health Prior Authorization Provider FAQ

Find answers to frequently asked questions about behavioral health PAs.

Medical, Behavioral and SUD Prior Authorization Form

Medication Management Referral Form

Pharmacy Prior Authorization Criteria

Pharmacy Prior Authorization Criteria outlines requirements and clinical criteria for medications requiring prior authorization, supporting consistent review and approval decisions for covered pharmacy services.

Medication Prior Authorization Form

Professionally Administered Drug (PAD) Prior Authorization Form