MedicaidAdministrativeMedium impact
Clinical Connections 2026
L.A. Care Health Plan·CA·Medical Policy
Effective date
Jan 1, 2026
We identified it
Jun 20, 2026
Summary
L.A. Care has updated their Clinical Connections policy to prioritize Provider Portal use for authorization requests and status updates, while designating the UM Call Center (877-431-2273) specifically for clinical discussions and discharge planning. The policy also includes process reminders emphasizing that over 18,000 services are now exempt from authorization and introduces new Recuperative Care services for homeless members.
Action Required
Immediately: Train staff to use L.A. Care Provider Portal as primary method for submitting authorization requests and checking status updates. Use UM Call Center (877-431-2273, Option 3 then Option 2) only for clinical discussions and discharge planning. Update workflow to check Prior Authorization Tool before submitting requests to avoid unnecessary delays. For SNFs: Submit discharge orders 7-10 days prior to planned discharge and include MC171, DC summary, and medication reconciliation.