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L.A. Care Health PlanMedicaid · Administrative · Medical Policy · CA · OB-GYN, Pediatrics, Pharmacy +2 moreMedium impact

Clinical Care & Patient Experience Initiatives for 2024

Effective date
Not stated in the notice
Identified
Jun 20, 2026

Summary

L.A. Care runs member outreach programs, provider incentive and resource programs, and provider education under its L.A. Care Covered, Medi-Cal, D-SNP and PASC lines of business. The dated initiatives carry 2024 launch dates, which have now passed, so confirm current applicability before acting on any of them. A memo to PPGs with an August 2024 launch date states that no prior authorization is needed for obstetrical care, breast cancer screenings and cervical cancer screenings.

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What to do

Action · 6 steps
01Memo launched August 2024: for LACC, MCLA and D-SNP members, do not request prior authorization for obstetrical care, breast cancer screenings or cervical cancer screenings, because the memo states none is needed.
02Billing team: check the Provider Portal for missing vaccine reports (CIS-10 and IMA-2, also available by email request to Incentive_Ops@lacare.org) and for lead screening reports, which are updated monthly for PPG and Direct Network.
03For Meals As Medicine extensions, a new service authorization request form from the treating provider is required.
04Providers: create an account on the L.A.
05Care Online Provider Portal to look up eligibility and claim status, download reports and find forms.
06Confirm current applicability of each 2024 launch date before acting.

Original notice

Clinical Care & Patient Experience Initiatives for 2024
lacare.org · Always check the source before changing claims.
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