CA Medi-Cal Fax Cover Sheet – COHS Request for Authorization
December 30, 2024 11:13 amREQUEST FOR AUTHORIZATION At this time, we are requesting authorization to render treatment to... View more
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VHA Fax Cover Sheet – Request for Authorization of Emergency Services
December 30, 2024 12:20 amREQUEST FOR AUTHORIZATION TO PROVIDE EMERGENCY SERVICES On , you notified our facility that... View more
MA Fax Cover Sheet – Notification of Disagreement of Care
December 30, 2024 12:03 amNOTIFICATION OF DISAGREEMENT OF CARE On , you notified our facility that further post-stabilization... View more
MA Appeal – Notice Requirements for Adverse Determinations
April 6, 2022 3:40 pmIMPERATIVE-ACTION REQUIRED Dear Director of : This office has been asked to file a formal complaint with the Centers for... View more
VHA Handbook 1330.03(2.)(d.)
September 5, 2020 4:59 pm2. Authority d. Pursuant to 38 U.S.C. § 1786, VA may provide newborn health care services, for up to but... View more
42 CFR §422.101(b)
September 5, 2020 4:54 pm(b) Comply with – (1) CMS’s national coverage determinations; (2) General coverage guidelines included in original Medicare manuals and instructions... View more
Welfare & Institutions Code §14133.9(d)
September 3, 2020 5:13 am(d) When a proposed treatment meets objective medical criteria, and is not contraindicated, authorization for the treatment shall be provided within... View more
CA Medi-Cal Affidavit – ETAR Authorization Timeframes
September 3, 2020 5:06 amAFFIDAVIT OF COMPLIANCE Timeframes for ETAR Authorization Requests Incorporated by Reference in 28 US Code § 1746 Patient/Multiple Patients: ... View more
CA Medi-Cal Appeal – ETAR Authorization Timeframe
September 3, 2020 5:03 amIMPERATIVE-ACTION REQUIRED Dear Director of : This office has been asked to file a formal complaint with the Department of... View more
VA Website Blurb – Contact the VA After Receiving ER Care
September 3, 2020 4:28 am“Once a Veteran’s immediate emergency medical care needs have been addressed, the Veteran, a family member, friend, or hospital staff... View more