Get Home Telemonitoring Services Prior Authorization Request

For questions about pre-approval (prior authorization), call Member Services at 1-888-839-9909 (TTY 711).

For questions about pre-approval (prior authorization), call Member Services at 1-888-839-9909 (TTY 711).

Insurance companies can deny a request for prior authorization for reasons such as: The doctor or pharmacist didn't complete the necessary steps. Filling the wrong paperwork or missing information such as service code or date of birth.

Fax Submission The fax number 1-800-869-4325 will be effective January 1, 2022.

“Prior Authorization” (PA) refers to a request for coverage of Medi-Cal Rx pharmacy benefit or services, which includes documentation establishing that the requested pharmacy benefit or service is medically necessary or a medical necessity for the Medi-Cal beneficiary based upon an individualized assessment by their ...

The GHPP is a prior authorization program. This means that a Service Authorization Request (SAR) must be submitted to the GHPP State office for approval for all diagnostic and treatments services, except for emergencies.

Except for emergency services, post-stabilization services, and services provided to you during an approved inpatient admission, all services from an out-of-network provider must be prior authorized. Claims for services from out-of-network providers that are not approved before the service is given may be denied.

Eligibility can be verified through: The California Health & Wellness secure provider portal (note: Providers must be registered to access secure portal content) The California Health & Wellness Online IVR system by calling toll free 1-877-658-0305.