Photo of a woman wearing a headset and smiling

Referral information

Specialty-to-Specialty Referrals

Specialty-to-specialty referrals will only be allowed in limited circumstances. Primary care physicians (PCPs) should generate all referrals for specialty care in KP Online-Affiliate, and specialists should coordinate with the member’s PCP to have the member referred and all relevant clinical information forwarded.

In certain limited circumstances, specialty-to-specialty referrals may be allowed. They include the following, along with those listed in the specialty referral grid♦  .

    Ob-gyn may refer to any specialty for all pregnancy related illnesses

    Any specialty can refer to hematology/oncology

    Any specialty can refer to self-referral specialties (dermatology, ob-gyn, ophthalmology, optometry, office-based behavioral health)

    Pediatric specialties follow the same specialty to specialty referral pattern as adult specialties

If you have questions, please contact Provider Contracting and Network Management at 877-465-0029.

You will need the free Adobe Acrobat Reader to read this file.
Please note: This PDF will open in a new window. If you can't view this PDF, please make sure that you've disabled any pop-up blockers on your computer.