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L.A. Care Health PlanMedicaid · Prior Auth · Prior Authorization · CAHigh impact

Complete Hospital Admission Notification & Authorization Request Submissions

Act
immediately
Effective date
Apr 28, 2026
Identified
Jun 20, 2026

Summary

L.A. Care Health Plan now requires hospitals to submit complete clinical documentation (H&P, ED notes, progress notes, lab results, etc.) along with the admission face sheet for all inpatient authorization requests. Face sheets alone will no longer be processed, and incomplete submissions will cause delays or denials.

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What to do

immediately · 4 steps
01Hospital billing teams must update admission notification workflow to include ALL required clinical documentation with face sheet submissions.
02Use consolidated fax submissions to (213) 438-5063.
03Ensure H&P, ED notes, progress notes, admission orders, and relevant lab/imaging results are included in every packet.
04Incomplete submissions will not be processed for medical necessity review.

Original notice

Complete Hospital Admission Notification & Authorization Request Submissions
lacare.org · Always check the source before changing claims.
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L.A. Care Health Plan policiesCA policy changes

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