Prior authorization

Authorization requests for L.A. Care-direct members (not those managed by a delegated PPG/IPA). The October 2026 Universal Provider Manual lists one phone and separate inpatient and outpatient faxes; this line carries the inpatient fax. Outpatient requests fax to 213-438-5777 (see separate line). Mail: L.A. Care Health Plan, Attn: Authorization, 1200 W. 7th Street, Los Angeles, CA 90017.

Outpatient and routine pre-service authorization requests. The Direct Network guide also uses this fax for retrospective authorization requests (with clinical records). Urgent D-SNP requests use 213-438-6100 per the manual.

Listed in the October 2026 manual UM contacts as applicable to L.A. Care Medicare Plus (HMO D-SNP): urgent requests. Routine requests use 213-438-5777 and inpatient 877-314-4957.

For hospital case managers: live support with UM nurses and discharge-planning coordination. 24/7 higher level of care and post-stabilization requests use the same number with Option 3, then Option 1.

For L.A. Care Direct Network providers checking authorization status or UM questions. Guide states both numbers route to the same team. March 2025 guide.