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Is the Emergency Department required to obtain referral authorization from the PCP listed on the Medicaid Identification Card?

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Is the Emergency Department required to obtain referral authorization from the PCP listed on the Medicaid Identification Card?

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No. Services provided in the Emergency Department do not require authorization by the member’s CA PCP. Refer to the Managed Care Provider Information section of the Basic Medicaid Billing Guide for more additional information.

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