Prior Auth Required

51351 - Targeted Case Management Services as specified in Title 22 CCR Section

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceTargeted Case Management Services as specified in Title 22 CCR Section
Procedure / Service Description

Other Carved Out Services - Other Carved Out Services Targeted Case Management Services as specified in Title 22 CCR Section 51351. Certain home and community-based wavered services (e.g., In Home Operations, HIV/AIDS Home and Community Based Services Waiver, Multipurpose Senior Services Program) are available through Medi-Cal

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.