CenCal Health

Prior authorization

Locate authorization teams and submission faxes. Medical, pharmacy and delegated reviews can follow different routes.

prior authorization

Authorization-requirement and self-referral inquiries

Official page read
Phone805-562-1676Published hours

Not published in this record

Product, plan and location

medicaid
California

Mailing address

Not researched for this route

Specific inquiry route for services that may not require prior authorization. The page limits Referral Authorization Forms to CenCal Medi-Cal members; actual TAR/RAF/clinical submissions use the current portal or applicable form. No fax is inferred. Local Medi-Cal health plan for Santa Barbara and San Luis Obispo counties. CenCal CareConnect is a distinct HMO D-SNP product; verify product and eligibility before using a route.

Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

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Make the call count.

Locate authorization teams and submission faxes. Medical, pharmacy and delegated reviews can follow different routes.

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  • Ordering and rendering provider details
  • Service codes, requested dates and units
  • Existing authorization or submission reference

Questions to resolve

  • Is this the correct reviewer for this service and product?
  • Which documents are missing, and where should they be sent?
  • What is the case number and next status-check date?

This is a general administrative checklist, not payer policy or advice about a particular patient. Confirm the current plan instructions.

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