Prior Auth Required

14189 - H. Welfare and Institutions Codes (WIC) § .5, .03, .402 §

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Procedure / ServiceH. Welfare and Institutions Codes (WIC) § .5, .03, .402 §
Procedure / Service Description

Policy/Procedure Title: Mental Health Services - F. Subpart K of Part 438 of Title 42 of the Code of Federal Regulations (CFR) G. Title 42 United States Code (USC) § 1396d(r)(5) H. Welfare and Institutions Codes (WIC) § 14059.5, 14132.03, 14184.402 § 14189 I. DHCS APL 23-029 Memorandum of Understanding Requirements for Medi-Cal Managed Care Plans and Third Party Entities (10/11/2023)

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.