Sharp Heath Plan

Quick Reference Guide (PDF)
Frequently Asked Questions (PDF)
Behavioral Health Injectable/Infusion Prior Authorization Request Form (PDF)

• To request authorization for an injectable or infusion medication, complete the authorization form above. 
• Fax the form along with applicable medical records to Sharp Health Plan at (858) 636-2426. 
• Sharp Health plan will review for medical necessity and notify the provider and member of the determination.
• Sharp Health Plan will also notify Magellan of the prior authorization request and determination.

Referring Members to In-Network Labs

Laboratory expenses are one of the biggest contributors to a patient’s healthcare costs. That’s why Magellan* and our health plan client, Sharp Health Plan, ask providers to refer members to an in-network provider.

Sharp Health Plan members who require outpatient lab work associated with mental health and/or substance use disorder treatment must be referred to a lab contracted directly with their health plan. In-network labs include:

• Laboratory Corporation of America (Labcorp)
• Pacific Rim Pathology
• Quest Diagnostics

If you or a Sharp Health Plan member has any questions about coverage for outpatient lab services associated with their mental health and/or substance use disorder treatment, contact Sharp Health Plan Customer Care at 1-858-499-8200. Note: All genetic and pharmacogenetic testing requires prior authorization from Sharp Health Plan.

*In California, Magellan does business as Human Affairs International of California, Inc. and/or Magellan Health Services of California, Inc. – Employer Services.