California
§ 51003.1. Provider Appeal Process for Treatment Authorization Requests (TARs).
1 provisions · California regulatory authority
Provisions
Citable source units
22 CCR 51003.1Reimbursement PaymentMedical Records
Provider Appeal Process for Treatment Authorization Requests (TARs).
Establishes deadlines, submission methods, documentation requirements, and decision timelines for provider appeals of Medi-Cal treatment authorization determinations.
Group
Payment Program Integrity
Category
Reimbursement Payment
Domain
Billing Reimbursement
Topics
Medi Cal TAR appeals, Provider authorization appeals, Medical necessity documentation
Taxonomy
Regulatory category mix