Transcription of California Prior Authorization Requirements - …
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California Prior Authorization Requirements - …
California Prior Authorization Requirements health Net of California , Inc. and health Net Life Insurance Company ( health Net) Direct Network1 HMO (including CommunityCare HMO), Point of Service (POS) Tier 1 and Medicare Advantage (MA) HMO health Care Service Plan (HSP) CommunityCare HMO participating physician groups (PPGs) POS Tiers 2 and 3 (Elect, Select and Open Access) EPO, PPO, out-of-state PPO2, and Flex Net products Effective April 11, 2018 Page 1 of 11 Effective: April 11, 2018 The following services, procedures and equipment are subject to Prior Authorization Requirements (unless noted as notification required only), as indicated by X under the applicable line of business. If X is not present, Prior Authorization may not be required, or the service, procedure or equipment may not be a covered benefit.
California Prior Authorization Requirements Health Net of California, Inc. and Health Net Life Insurance Company (Health Net) Direct Network1 HMO (including CommunityCare HMO), Point of
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