Important Notice: Our web hosting provider recently started charging us for additional visits, which was unexpected. In response, we're seeking donations. Depending on the situation, we may explore different monetization options for our Community and Expert Contributors. It's crucial to provide more returns for their expertise and offer more Expert Validated Answers or AI Validated Answers. Learn more about our hosting issue here.

Is PCP authorization required each time a Specialist sees a CA enrollee?

April 26, 2017Authorization ca enrollee pcp sees specialist time

0

Posted

Is PCP authorization required each time a Specialist sees a CA enrollee?

1 Answer

0

Posted

Unless the service you are providing is an exempt service as listed in the Managed Care Provider Information section of the Basic Medicaid Billing Guide, you must obtain authorization from the PCP. The length and scope of the authorization is at the discretion of the PCP.