Cal. Welfare and Institutions Code § 14133.14
Cal. Welfare and Institutions Code § 14133.14
California · California Welfare and Institutions Code · Status: effective · Effective 1997-08-18
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- Citation
- Cal. Welfare and Institutions Code § 14133.14, California, version 1 as recorded 2026-07-25, yourstate.us, https://yourstate.us/provision/953090
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Full text
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.