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2021 California Code
Welfare and Institutions Code - WIC
DIVISION 9 - PUBLIC SOCIAL SERVICES
PART 3 - AID AND MEDICAL ASSISTANCE
CHAPTER 7 - Basic Health Care
ARTICLE 4 - The Medi-Cal Benefits Program
Section 14133.14.
Universal Citation: CA Welf & Inst Code § 14133.14 (2021)
14133.14.
The criteria that the department shall use to identify providers to be placed on prior authorization for noninvasive testing procedures shall include, but not be limited to, Medi-Cal trend analysis, provider profiling data, provider and beneficiary history data, or appropriateness of the services as related to diagnosis, volume of services, utilization patterns, and specialty of provider. The existing prior authorization appeals process shall be available to these providers for denial of services.
(Added by Stats. 1997, Ch. 294, Sec. 72. Effective August 18, 1997.)
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