Prior Authorization Request Forms are available for download below. Please select the appropriate Prior Authorization Request Form for your affiliation.
L.A. Care Direct Network Prior Authorization Fax Request Form, effective 11/1/22
Check the status of your authorization using the online iExchange portal.
Use the Direct Network Provider Prior Authorization Tool.
Changes to the L.A. Care Direct Network effective November 1st, 2022
Frequently Asked Questions About the Changes Effective November 1, 2022
Use the Prior Authorization Request Form