Prior Auth Required

20267 - A. Partnership Advantage: Effective January 1, , Partnership HealthPlan of California will operate a

This procedure appears on the selected insurer prior authorization source.

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Procedure / ServiceA. Partnership Advantage: Effective January 1, , Partnership HealthPlan of California will operate a
Procedure / Service Description

III. DEFINITIONS - III. DEFINITIONS: A. Partnership Advantage: Effective January 1, 20267, Partnership HealthPlan of California will operate a Centers for Medicare & Medicaid Services (CMS)-approved Dual-Eligible Special Needs Plan (D-SNP) in specific counties as described in the Department of Health Care Services (DHCS) CalAIM Dual

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.