123929 Apr 2026

Documentation must prove the requested service is the most appropriate and cost-effective treatment.

CCS is usually the primary authorizer for the specific eligible condition. 123929

Families have the right to request a Fair Hearing or an informal grievance review if they disagree with the authorization decision. 5. Interaction with Medi-Cal For children who are dually eligible for Medi-Cal and CCS: Documentation must prove the requested service is the

While "prior" authorization is the rule, certain emergency services may be authorized retroactively if they meet specific criteria defined in the CCS Manual of Procedures. 4. Denials and Appeals If a SAR is denied under Section 123929: 123929