Prior Auth Required

14184 - WHEREAS, Welfare and Institutions Code section .800 states that “a qualifying

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceWHEREAS, Welfare and Institutions Code section .800 states that “a qualifying
Procedure / Service Description

targeted set of Medi-Cal services1 for incarcerated individuals for up to 90 days prior to - targeted set of Medi-Cal services1 for incarcerated individuals for up to 90 days prior to the expected date of release (“Justice Involved (JI) Initiative”); WHEREAS, Welfare and Institutions Code section 14184.800 states that “a qualifying inmate of a public institution shall be eligible to receive targeted Medi-Cal services for

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.