L.A. Care Health Plan reduces services requiring prior authorization

L.A. Care Health Plan has updated its list of codes requiring prior authorization, including those tied to radiology services, reducing the number of services that require it.

The health plan removed 24% of existing codes in an effort to avoid delays in member care, speed up discharge requests, and decrease the administrative burden for providers. L.A. Care identified codes to remove from the list after conducting a review of historical utilization approvals.

The plan recently started a bimonthly provider webinar series to help educate providers on its processes and available services.