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L.A. Care Health PlanMedicaid · Prior Auth · Prior Authorization · CA · Geriatrics, Family Medicine, Internal Medicine +1 moreMedium impact

L.A. Care Removes the Prior Authorization Requirement for Long Term Care (LTC) Service Codes (An)

Act
immediately
Effective date
Not stated in the notice
Identified
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.

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What to do

immediately · 4 steps
01Update billing system settings to remove prior authorization requirements for L.A.
02Care Long Term Care service codes.
03Notify billing staff that LTC claims can now be submitted directly without prior approval.
04Review any pending LTC prior authorization requests and proceed with direct billing instead.

Original notice

L.A. Care Removes the Prior Authorization Requirement for Long Term Care (LTC) Service Codes (An)
lacare.org · The payer's link may no longer work.
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