Streamline access to essential healthcare services with L.A. Care’s authorization process. Whether it’s hospital admissions, outpatient procedures, transportation, or dental and vision services, we provide clear guidelines to ensure timely approvals. Easily submit authorization requests, access required forms, and use our Prior Authorization Look-Up Tool to quickly verify service requirements. Get the support you need to navigate the process smoothly and efficiently.
Effective June 01, 2025, L.A. Care will no longer require prior authorization for LTC and ICF/DD service codes: 0101 and 0190.
The following service codes still require prior authorization:
- 0101: LTC and ICF/DD Room and Board for NON-CONTRACTED facilities only
- 0190: LTC Subacute for NON- CONTRACTED facilities only
- 0191-0194: Skilled Level of Care
- 0199: Pediatric Subacute with Rehabilitation Therapy and Ventilator Weaning Services
ADMISSIONS, DISCHARGES, AND TRANSFERS
Access clear authorization guidelines for hospital stays and transfers.
LTC-SNF, PEDIATRIC & ADULT SUB-ACUTE, ICF/DD
Authorization details for long-term care, skilled nursing, and specialized inpatient services.
OUTPATIENT AND ELECTIVE SERVICES
Easily navigate approvals for outpatient treatments, procedures, and elective care.
DENTAL AND VISION SERVICES
Access dental and vision services contact information for L.A. Care members.
UTILIZATION MANAGEMENT FORMS
Download and submit required forms for authorization requests and approvals.
Additional Authorizations
