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ESTABLISHED CCS/GHPP CLIENT SERVICE AUTHORIZATION REQUEST (SAR) Provider Information 1. Date of request 2. Provider name 3. MediCal provider number 4. Address (number, street) City State ZIP code 5.

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The CCS program is administered as a partnership between county health departments and the California Department of Health Care Services (DHCS). Currently, approximately 70 percent of CCS-eligible children are also Medi-Cal eligible. The Medi-Cal program reimburses their care.

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

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.

A SAR number authorized to a physician may be used for reimbursement by other health. care providers from whom the physician has requested services, such as laboratory, pharmacy or radiology providers. The rendering provider will use a physician's SAR number.

Counseling Support Services: Ask your child's NCM about counseling support services through the CCS Social Work Unit at (626) 569-6231.

If you have any questions, please call the Telephone Service Center at 1(800) 541-5555.

General Details. ​CCS Service Authorization Requests (SARs) Are the equivalent of Medi-Cal TARS. Are used in place of a TAR by the provider when billing CCS.

This section identifies California Children's Services (CCS) Service Code Groupings (SCGs). related health care services that are authorized through the Service Authorization Request (SAR) process.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232