Prior Auth Required

14059 - Section .5(b)(1)

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / ServiceSection .5(b)(1)
Procedure / Service Description

• Medi-Cal for Kids and Teens services are medically necessary or a medical - conditions discovered through screening as set forth in Title XIX of the Social Security Act, Section 1905(r)(5) and in Welfare and Institutions Code (W&I Code), Section 14059.5(b)(1). • PCPs must arrange for all medically necessary services identified at a preventive screening or other visit identifying the need for treatment, either directly or

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.