Routine Care Costs for Qualifying Clinical Trials
Provider Type
- Physicians
- Participating Physician Groups (PPG)
- Hospitals
- Ancillary
When a prior authorization request is required for routine care costs, for items and services that are furnished as part of a qualifying clinical trial, requests are considered urgent and processed within 72 hours after the necessary clinical information is received.
To obtain urgent status when submitting the request for authorization to the Prior Authorization Department for Medi-Cal, either:
- Attach the downloaded Medicaid Attestation Form (PDF) or
- Indicate ‘Routine Care Cost Services Associated with the Clinical Trial” on the appropriate Prior Authorization Request Form.
Refer to the Medi-Cal Prior Authorization Requirements for a complete list of services that require prior authorization.