Prior Auth Required

51335 - and any or all attachments to Exhibit A and in the Member’s Evidence of

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Serviceand any or all attachments to Exhibit A and in the Member’s Evidence of
Procedure / Service Description

Services - Services Coverage shall be provided in accordance with the standards set forth in 22 CCR § 51335 and any or all attachments to Exhibit A and in the Member’s Evidence of Coverage (EOC). Services CenCal Health covers include, but are not limited to:

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.