As managed care enrollment increases, pulmonary rehabilitation coordinators need to become well versed in the terminology and grasp the way managed care organizations operate. Maintaining access to pulmonary rehabilitation services for chronic lung disease patients is imperative. Learning how to obtain treatment referrals and authorizations has become challenging. Using offered resources can aid program coordinators in their struggle to survive in an ever-changing health care delivery system. Preventative and restorative rehabilitation intervention saves utilization of expensive health care resources.