Locate authorization teams and submission faxes. Medical, pharmacy and delegated reviews can follow different routes.
fax prior auth
Utilization Management Department — prior authorization request fax
Official page read
Phone
No phone listed for this route
Fax
408-874-1957
Prior authorization requests with clinical documentation.
Published hours
Not published in this record
Product, plan and location
medicaid · dsnp California
Mailing address
Not researched for this route
Fax the SCFHP prior authorization request form with clinical documentation for SCFHP-managed Medi-Cal and DualConnect members. Members delegated to NEMS, Valley Health Plan or Premier Care of Northern California go to that group instead.
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Locate authorization teams and submission faxes. Medical, pharmacy and delegated reviews can follow different routes.
Have ready in your secure workspace
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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For the people making the calls
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A request does not create an account or start a call. Use business contact information only. No patient information.
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