Prior Auth Required

51309 - be in accordance with the California Code of Regulations (22 CCR , Psychology

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Servicebe in accordance with the California Code of Regulations (22 CCR , Psychology
Procedure / Service Description

reasonable and medically necessary. Services will be subject to authorization and must - limited to evaluation and treatment services, durations, and frequency of visits that are reasonable and medically necessary. Services will be subject to authorization and must be in accordance with the California Code of Regulations (22 CCR 51309, Psychology, Physical Therapy, Occupational Therapy, Speech Pathology, and Audiological Services)

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.