Elective and Emergency Hospital Admissions

All elective inpatient admissions require prior authorization. Contact Review Services for pre-authorization.

For more information about pre-authorization requirements, see Referrals and Clinical Review.

Emergency Hospital Admissions

Kaiser Permanente is positioned to help Emergency Departments prior to admission with medically stable patients as well as patients who can be treated and released from the Emergency Department with non-hospital based services.

How can EPRO provide assistance?

  • Access to a patient's Kaiser Permanente medical records.
  • Reviewing nationally accepted hospital admission criteria.
  • Communicating with patients and families to explain medical necessity.
  • Obtaining and coordinating non-hospital services, such as home care, home infusion, or assistance with placing a patient in a skilled nursing facility. Custodial placement is not a covered service under most health plans.
  • Support to transfer patients to other facilities for continuity of care or higher level of care.
Reviewed 10/10/2016

The Provider Manual is not intended for any use by any party other than as a resource for Kaiser Foundation Health Plan of Washington's contracted providers in fulfilling their obligations under provider contracts. Kaiser Permanente intends for the manual to be accurate for its intended purpose but doesn’t guarantee accuracy. Providers should comply with the terms of their provider contracts and any legal requirements in the event of an inconsistency between the manual and a requirement in their provider contracts or the law.