MedicaidPrior AuthMedium impact
L.A. Care Removes the Prior Authorization Requirement for Long Term Care (LTC) Service Codes (An)
L.A. Care Health Plan·CA · Geriatrics, Family Medicine, Internal Medicine +1 more·Prior Authorization
We identified it
Jun 20, 2026
Summary
L.A. Care Health Plan has eliminated the prior authorization requirement for Long Term Care (LTC) service codes. This means billing teams can now submit LTC claims directly without obtaining prior approval, streamlining the billing process for these services.
Action Required
Immediately: Update billing system settings to remove prior authorization requirements for L.A. Care Long Term Care service codes. Notify billing staff that LTC claims can now be submitted directly without prior approval. Review any pending LTC prior authorization requests and proceed with direct billing instead.