Prior Auth Required

11168 - 8 CCR §5193; CA Health and Safety Code (HSC) §117600; CA Penal Code § , § ; 29 CFR §1910.1030, 8 CCR §3342  

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Service8 CCR §5193; CA Health and Safety Code (HSC) §117600; CA Penal Code § , § ; 29 CFR §1910.1030, 8 CCR §3342  
Procedure / Service Description

Comments - Site Specific Personnel Survey Criteria (Continued) Yes No N/A wt F. Site personnel receive safety training annually 8 CCR §5193; CA Health and Safety Code (HSC) §117600; CA Penal Code §11164, §11168; 29 CFR §1910.1030, 8 CCR §3342   There is evidence that the site staff has received annual training on the following: 1. Infection Control/Universal Precautions 1

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.