Prior Auth Required

14059 - 3. In accordance with California Welfare and Institutions Code (WIC) sections .5 and

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Service3. In accordance with California Welfare and Institutions Code (WIC) sections .5 and
Procedure / Service Description

d.e. MCPs must provide psychotherapy to MCP members under the age of 21 with specified risk - provider network which shall provide a full range of covered NSMHS to its pediatric and adult Members. 3. In accordance with California Welfare and Institutions Code (WIC) sections 14059.5 and 14184.402, services that are “medically necessary” or a “medical necessity” (see III.H.) to correct or ameliorate health conditions for Members under the age of 21 shall be in accordance with the

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.