---
title: "Create Prior Authorization"
method: POST
path: "/public/v1/prior-authorizations/"
tags: ["V1PriorAuthorizationResource"]
---

# Create Prior Authorization

`POST /public/v1/prior-authorizations/`

## Request

- Base URL: `https://app.silnahealth.com/api`
- URL: `https://app.silnahealth.com/api/public/v1/prior-authorizations/`
- Auth: HTTP bearer

## Headers

- `idempotency-key` string

## Request body

- V1PriorAuthorizationCreate
  - `patient_plan_id` string, uuid, required: Patient Plan ID
  - `specialty` 'PHYSICAL_THERAPY' | 'ABA_THERAPY' | 'SPEECH_THERAPY' | 'OCCUPATIONAL_THERAPY' | 'PSYCHOLOGICAL_TESTING' | 'HOME_HEALTH_CARE' | 'HOSPICE' | 'CARDIAC_REHABILITATION' | 'INTENSIVE_CARDIAC_REHABILITATION' | 'MENTAL_HEALTH' | 'PRINCIPAL_ILLNESS_NAVIGATION' | 'PRINCIPAL_CARE_MANAGEMENT' | 'ADVANCED_PRIMARY_CARE_MODELS' | 'PREVENTATIVE_HEALTH' | 'PARTIAL_HOSPITALIZATION_PROGRAM' | 'INTENSIVE_OUTPATIENT_PROGRAM' | 'INTERVENTIONAL_RADIOLOGY' | 'VASCULAR_SURGERY' | 'INTERVENTIONAL_CARDIOLOGY' | 'ORTHOPEDICS' | 'CHIROPRACTIC' | 'GYNECOLOGY' | 'LONG_TERM_CARE' | 'NUTRITIONAL_COUNSELING' | 'PHYSICAL_MEDICINE' | 'PULMONARY_REHABILITATION' | 'INJECTABLE_SPECIALTY_MEDICATIONS' | 'ALLERGY_TESTING' | 'SKILLED_NURSING' | 'RADIOLOGY' | 'OTOLARYNGOLOGY' | 'DURABLE_MEDICAL_EQUIPMENT' | 'DERMATOLOGY' | 'PROFESSIONAL_OFFICE_VISIT' | 'PSYCHIATRY' | 'PRIVATE_DUTY_NURSING' | 'NEUROLOGY', required
  - `authorization_type` 'ASSESSMENT_AUTHORIZATION' | 'INITIAL_AUTHORIZATION' | 'CONCURRENT_AUTHORIZATION' | 'AMENDMENT', required
  - `save_as_draft` boolean: Whether to save as draft. Only available if prior auth management is enabled. Reach out to your Silna contact to turn it on.

## Response `201`

- V1PriorAuthorizationCreateResponse
  - `id` string, uuid, required: ID of the created prior authorization
  - `status` 'DATA_REQUESTED' | 'DATA_RECEIVED' | 'ALL_REQUIRED_DATA_RECEIVED' | 'REQUESTED' | 'TOO_EARLY_TO_SUBMIT' | 'UNNECESSARY' | 'AWAITING_PROVIDER' | 'AWAITING_SILNA' | 'SUBMITTED_TO_PAYOR' | 'PAYOR_DENIED' | 'PAYOR_DENIED_APPEALING' | 'AWAITING_RESUBMISSION' | 'RESUBMITTED_TO_PAYOR' | 'PAYOR_APPROVED' | 'DENIED_UNAPPEALED' | 'PRELIMINARY_APPROVAL' | 'PARTIALLY_APPROVED' | 'WITHDRAWN', required
  - `required_data` V1PriorAuthorizationRequiredData, required
    - `treatment_codes` V1TreatmentCodesRequirement, required
      - `required` boolean, required: Whether treatment codes are required
      - `standards` TreatmentCodeStandard[], required: Standard for the treatment codes
    - `documents` V1DocumentsRequirement, required
      - `required` boolean, required: Whether documents are required
      - `items` V1DocumentRequirement[]: List of document requirements
        - `document_type` 'AUTHORIZATION_FORM' | 'PROGRESS_NOTE' | 'DIAGNOSIS_REPORT' | 'REFERRAL' | 'ASSESSMENT_EVALUATION' | 'CANCELLATION_LETTER' | 'TREATMENT_PLAN_PLAN_OF_CARE' | 'ATTENDANCE_LOGS' | 'INDIVIDUALIZED_EDUCATION_PROGRAM' | 'CHANGE_OF_PROVIDER_FORM' | 'TELEHEALTH_ATTESTATION' | 'ATTESTATION' | 'ORIGINAL_AUTHORIZATION_APPROVAL_LETTER' | 'PROOF_OF_DENIAL' | 'SESSION_NOTE' | 'OASIS' | 'MEDICAID_WAIVER' | 'PAYOR_PORTAL_QUESTIONNAIRE' | 'ABAS' | 'VINELAND' | 'SRS_2' | 'PDDBI' | 'PSI_SIPA', required
        - `required` boolean, required: Whether this document is required
        - `document_intelligence` V1DocumentIntelligence, required
          - `validation_supported` boolean, required: Whether document validation is supported for this document type
    - `clinician_npi` V1ClinicianNpiRequirement, required
      - `required` boolean, required: Whether clinician NPI is required
    - `start_date` V1StartDateRequirement, required
      - `required` boolean, required: Whether start date is required

## Other responses

- `400`
- `401`
- `404`
- `429`

## Changes

- **2026-10-26** `200735a2fe75`: 3 warning
  - added the new `MEDICAID_WAIVER` enum value to the `required_data/documents/items/items/document_type` response property for the response status `201`
  - added the new `OASIS` enum value to the `required_data/documents/items/items/document_type` response property for the response status `201`
  - added the new `PAYOR_PORTAL_QUESTIONNAIRE` enum value to the `required_data/documents/items/items/document_type` response property for the response status `201`
- **2026-10-22** `57cd7a08793e`: 3 info
  - removed the `APPROVED_TO_SUBMIT` enum value from the `status` response property for the response status `201`
  - removed the `PENDING_PROVIDER_SIGNATURE_ATTESTATION` enum value from the `status` response property for the response status `201`
  - removed the `PENDING_PROVIDER_SUBMISSION_REVIEW` enum value from the `status` response property for the response status `201`
- **2026-10-08** `2487b06b9480`: 1 info
  - added the new `NEUROLOGY` enum value to the request property `specialty`
- **2026-10-06** `d1cefeb3bb82`: 1 warning
  - added the new `PENDING_PROVIDER_SIGNATURE_ATTESTATION` enum value to the `status` response property for the response status `201`
- **2026-09-30** `f8db697a2d40`: 1 info
  - removed the `ADDITIONAL_REQUIRED_FILES` enum value from the `required_data/documents/items/items/document_type` response property for the response status `201`

[Operation history](https://skmtc.dev/silnahealth/apis/silna-public-api/changes/public/v1/prior-authorizations/post.md)

---

[API](https://skmtc.dev/silnahealth/apis/silna-public-api.md) - [All operations](https://skmtc.dev/silnahealth/apis/silna-public-api/llms.txt) - [OpenAPI document](https://skmtc.dev/silnahealth/apis/silna-public-api/revisions/06b4547aa602?raw)