California
§ 41770. Prior Authorization.
1 provisions · California regulatory authority
Provisions
Citable source units
22 CCR 41770Reimbursement PaymentProvider Enrollment
Prior Authorization.
Requires prior authorization and retained authorization records for purchased services, while permitting limited retroactive authorization when eligibility and prompt provider-notification conditions are met.
Group
Payment Program Integrity
Category
Reimbursement Payment
Domain
Billing Reimbursement
Topics
CCS prior authorization, Purchased service authorization, Retroactive authorization
Taxonomy
Regulatory category mix