Beginning January 1, 2014, prior authorization will be required for State of Wisconsin (ETF) members
prior to receiving a surgical consult for low back pain. The groups affected are only State of
Wisconsin (ETF) members using group numbers 0875 and 0870, and does not apply to any other members.
State of Wisconsin (ETF) members must complete conservative measures before receiving authorization
to be surgically evaluated for low back pain. It is Group Health Cooperative of Eau Claire’s policy
to provide State of Wisconsin (ETF) members the opportunity to review options for conservative and
appropriate treatment for low back pain with a nurse from our Health Management department prior
to receiving a surgical consult.
Prior authorization may be requested using
the Request Form for Surgical Consult for Low Back.