Prior Auth Required
51215 - standard specified in 22 CCR § (except that the distinct part of a hospital does
This procedure appears on the selected insurer prior authorization source.
Prior authorizationPrior Auth Required
Procedure / Servicestandard specified in 22 CCR § (except that the distinct part of a hospital does
Procedure / Service Description
Skilled Nursing Facility by DHCS or is a distinct part or unit of a hospital, meets the - Skilled Nursing Facility: Any institution, place, building, or agency that is licensed as a Skilled Nursing Facility by DHCS or is a distinct part or unit of a hospital, meets the standard specified in 22 CCR § 51215 (except that the distinct part of a hospital does not need to be licensed as a Skilled Nursing Facility) and has been certified by DHCS for participation as a Skilled Nursing Facility in the Medi-Cal program. The term "Skilled
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.