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What is an Authorization Form? An authorization form is a document that is duly endorsed by an individual or organisation which grants permission to another individual or organisation to proceed with certain actions. It is often used to grant permission to carry out a specific action for a fixed period of time.
What is an Authorization Form? An authorization form is a document that is duly endorsed by an individual or organisation which grants permission to another individual or organisation to proceed with certain actions. It is often used to grant permission to carry out a specific action for a fixed period of time.
Prior authorization means that your doctor must get approval from Blue Shield before prescribing specific medications or performing a particular medical service or operation. Without this prior approval, Blue Shield may not pay for your medication or medical procedure, and you will have to pay out of pocket.
Providers also have the option to use electronic prior authorization, or complete the California standard Prescription Drug Prior Authorization Request Form and fax to (888) 697-8122.
If member has a CCS diagnosis but no open case with CCS, submit prior authorization requests to the Plan for all services other than well visits, preventive services, immunizations, emergency services, urgent care services, minor consent services (sexual assault, pregnancy care, family planning, sexually transmitted
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The form a provider uses to request authorization is called a Prior Authorization ​(PA).
To submit a medical prior authorization: Login Here and use the Prescription Drug Prior Authorization or Step Therapy Exception Request Form (No. 61-211) English (PDF).
Providers also have the option to use electronic prior authorization, or complete the California standard Prescription Drug Prior Authorization Request Form and fax to (888) 697-8122.

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