Medi-Cal
某些類型的護理,將需要您的醫生或專科醫生在您獲得護理前,先向您的醫療網或 CalOptima 申請授權。這也叫做申請預先授權,預先批准,或預批。它代表您的醫療網或 CalOptima 必須先確認該護理有醫療必要性,或需求。 只要能合理且必要的保護您的生命,能防止您受到嚴重傷害或致殘,或緩解劇烈疼痛,該護理就有醫療必要性。 以下服務通常需要獲得預先批准,即使在您醫療網,或 CalOptima 網絡內的醫療服務者處接受的服務:
在急救護理情況下,您永遠不需要獲得預先批准,即使在網絡外。這包括嬰兒分娩的情況。如果您想要申請預先授權,請聯絡您的家庭醫生 (PCP) 或專科醫生。
以下是需要您的醫療服務者獲得預先授權的治療編號清單:
October-December 2024 (Physician-Administered Drug Prior Authorization Required List) List of procedures that require prior authorization.
October-December 2024 (Medi-Cal) List of procedures that require prior authorization.
October-December 2024 (OneCare) List of procedures that require prior authorization.
July-September 2024 (Physician-Administered Drug Prior Authorization Required List) List of procedures that require prior authorization.
July-September 2024 (Medi-Cal) List of procedures that require prior authorization.
July-September 2024 (OneCare) List of procedures that require prior authorization.
April-June 2024 (Physician-Administered Drug Prior Authorization Required List) List of procedures that require prior authorization.
April-June 2024 (Medi-Cal) List of procedures that require prior authorization.
April-June 2024 (OneCare) List of procedures that require prior authorization.
January-March 2024 (Physician-Administered Drug Prior Authorization Required List) List of procedures that require prior authorization.
January-March 2024 (Medi-Cal) List of procedures that require prior authorization.
January-March 2024 (OneCare) List of procedures that require prior authorization.
October-December 2023 (Physician-Administered Drug Prior Authorization Required List) List of procedures that require prior authorization.
October-December 2023 (Medi-Cal) List of procedures that require prior authorization.
October-December 2023 (OneCare) List of procedures that require prior authorization.
July-September 2023 (Physician-Administered Drug Prior Authorization Required List) List of procedures that require prior authorization.
July-September 2023 (Medi-Cal) List of procedures that require prior authorization.
July-September 2023 (OneCare) List of procedures that require prior authorization.
April-June 2023 (Physician-Administered Drug Prior Authorization Required List) List of procedures that require prior authorization.
2023年一月至三月 需要預先授權治療的清單,生效日 01/01/2023 至 03/31/2023。
January - January 31, 2023 (Medi-Cal) List of procedures that require prior authorization, effective 01/01/2023-01/31/2023.
2022 年 10 月至 12 月 需要預先授權治療的清單,生效日 10/01/2022 至 12/31/2022。
2022年七月至九月 需要預先授權治療的清單,生效日 07/01/2022 至 09/30/2022。
2022年四月至六月 需要預先授權治療的清單,生效日 04/01/2022 至 06/30/2022。
2022年一月至三月 需要預先授權治療的清單,生效日 01/01/2022 至 03/31/2022。
需要預先授權治療的清單,生效日 10/01/2021 至 12/31/2021。
需要預先授權治療的清單,生效日 07/01/2021 至 09/30/2021。
需要預先授權治療的清單,生效日 04/01/2021 至 06/30/2021。
需要預先授權治療的清單,生效日 01/01/2021 至 03/31/2021。
需要預先授權治療的清單,生效日 10/01/2020 至 12/31/2020。
需要預先授權治療的清單,生效日 07/01/2020 至 09/30/2020。
需要預先授權治療的清單,生效日 04/01/2020 至 06/30/2020。
需要預先授權治療的清單,生效日 01/01/2020 至 03/31/2020。