№ files_lp_4_process_1_42308
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Form used to request prior authorization for psychological testing under Medi-Cal, detailing client information, testing specifics, diagnostic codes, and hours allowed for evaluation and scoring.
Year:
2026
Region / City:
San Diego, California
Document Type:
Pre-authorization form
Institution:
San Diego Public Sector
Target Audience:
Psychologists and healthcare providers
Purpose:
Request prior approval for psychological testing under Medi-Cal
Required Information:
Client details, psychologist credentials, testing dates, diagnostic information, tests and CPT codes
Processing Time:
14 calendar days from receipt
Referral Source:
Child Welfare Services or court-ordered referrals
Clinical Context:
Includes case background, purpose of testing, and relevant medical/psychiatric history
Limitations:
Psychological testing, test administration, and scoring hours cannot exceed 11 hours total
Fax Number:
(866) 220-4495
Phone for Questions:
(800) 798-2254 Option #3 then Option #4
Pre-authorization Requirement:
Yes
Price: 8 / 10 USD
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The product description is provided for reference. Actual content and formatting may differ slightly.
Organization:
Boston Scientific Corporation
Document Type:
Pre-Authorization Form
Medical Field:
Neuromodulation / Spinal Cord Stimulation
Purpose:
Insurance pre-authorization request for spinal cord stimulation procedures
Applicable Procedures:
SCS Trial, SCS Implant, Revision, Replacement, Removal
Coding Systems Referenced:
CPT®, ICD
Procedure Codes Included:
63650, 63655, 63685, 63661, 63662, 63663, 63664, 63688, 95971, 95972
Regulatory References:
FDA labeling, Medicare NCD and LCD requirements
Intended Users:
Physicians and healthcare providers submitting authorization requests
Required Information:
Patient information, insurance details, physician and facility identification, diagnosis codes, procedure codes and units
Certification Requirement:
Physician attestation of medical necessity and accuracy of submitted information
Confidentiality Notice:
Confidential clinical and patient information transmission via fax or email
Contact Information:
[email protected]
Note:
; Fax 1-877-835-2520; Phone 1-866-287-0778
Copyright:
© 2021 Boston Scientific Corporation and its affiliates
Trademark Notice:
CPT® registered trademark of the American Medical Association
Document Identifier:
NM-68609-AH
Year:
2018
Region / City:
San Joaquin Valley, California
Topic:
Healthcare, Agricultural Industry
Document Type:
Report
Organization:
Diringer and Associates, California Rural Legal Assistance Foundation
Author:
Joel Diringer, JD, MPH, Noe Paramo, JD
Target Audience:
Agricultural workers, policymakers, public health professionals
Period of Action:
April 2018
Date of Approval:
April 2018
Date of Changes:
N/A
Contextual Description:
A report examining the impact of Medi-Cal expansion on farmworkers in San Joaquin Valley, addressing both health coverage and economic consequences for agricultural employers.
Document type:
All Plan Letter
Program:
Medi-Cal
Subject:
Community Health Worker services benefit
Jurisdiction:
California
Issuing authority:
Medi-Cal program administration
Regulatory basis:
Title 42 Code of Federal Regulations Section 440.130(c)
State Plan Amendment:
22-0001
Target entities:
Medi-Cal managed care health plans
Covered services:
Preventive health services
Provider category:
Community Health Workers
Policy area:
Health workforce qualifications and supervision
Implementation framework:
California Advancing and Innovating Medi-Cal (CalAIM)
Date:
Not specified
Document Type:
All Plan Letter (APL)
Subject:
Timely Access Requirements
Purpose:
Guidance on timely access standards and compliance thresholds
Issuing Organization:
Department of Health Care Services (DHCS)
Program:
Medi-Cal Managed Care
Legal References:
Health and Safety Code section 1367.03; Senate Bill 221 (Chapter 724, Statutes of 2021); 42 CFR section 438.207(d); 28 CCR section 1300.67.2.2
Measurement Year:
2022
Effective Date of New Requirements:
July 1, 2022
Compliance Threshold Implementation:
January 1, 2022
Geographic Scope:
California
Audience:
Medi-Cal Managed Care Health Plans
Regulatory Framework:
Knox-Keene Health Care Service Act; California Code of Regulations; Code of Federal Regulations
Year:
2017
Region / City:
Riverside County, California
Topic:
Substance Use Disorder Treatment, Medi-Cal
Document Type:
Member Guide
Organization:
Riverside University Health System-Behavioral Health Department (RUHS-BH)
Author:
Riverside University Health System-Behavioral Health Department
Target Audience:
Medi-Cal recipients in Riverside County, specifically those in need of substance use disorder treatment
Period of Action:
2017
Approval Date:
Not specified
Amendment Date:
Not specified
Year:
2026
Region / City:
Tulare County, California
Topic:
Health Insurance, Public Health Programs
Document Type:
Information Guide
Agency:
Tulare County Health & Human Services Agency
Contact Person:
Dori Silveria, Program Manager
Target Audience:
Residents eligible for Medi-Cal or Medicare
Services Covered:
Medi-Cal, Medicare, Denti-Cal, Covered California, Medi-Cal Managed Care Plans
Application Methods:
Online, Mail, Fax, Phone
Office Hours:
Monday to Thursday 8AM–5:30PM (HICAP), Monday to Friday 7:30AM–5PM (Human Services Lobby)
Websites:
https://ktaaa.org/index.cfm/services/medicare-counseling-hicap/, https://www.coveredca.com, https://www.denti-cal.ca.gov, https://www.ssa.gov/benefits/medicare/
Phone Numbers:
HICAP 559-713-2875 | 800-321-2462, Medi-Cal 800-300-1506, Medicare 800-633-4227
Fraud Reporting:
DHCS Medi-Cal Fraud Hotline 1-800-822-6222
Medi-Cal Managed Care Contacts:
Anthem Blue Cross, Health Net Community Solutions, Bakersfield PACE, Health Care Options
Year:
2026
Region / City:
San Bernardino County, California
Subject:
Mental Health Services and Appeals
Document Type:
Rights Notice
Organization / Agency:
San Bernardino County Department of Behavioral Health
Author:
San Bernardino County Department of Behavioral Health
Target Audience:
Medi-Cal beneficiaries enrolled in Mental Health Plans and DMC-ODS County Plans
Effective Period:
During COVID-19 public health emergency and ongoing
Date of Publication:
2026
Contact Information:
1 (800) 743-1478; https://secure.dss.cahwnet.gov/shd/pubintake/cdss-request.aspx
Languages Available:
English, alternative formats including large font, Braille, electronic format
Year:
2023
Region / city:
United Kingdom
Subject:
Psychological wellbeing, mental health training, NHS Talking Therapies
Document Type:
Curriculum
Organization / Institution:
NHS
Author:
NHS
Target Audience:
Trainees, mental health professionals, educators
Period of Validity:
Not specified
Approval Date:
July 2022
Date of Revisions:
April 2023
Year:
2023
Note:
Region / City
Theme:
Sports Psychology, Injury Rehabilitation, Soccer
Document Type:
Research Article
Target Audience:
Sports Psychologists, Coaches, Soccer Players, Rehabilitation Specialists
Keywords:
Social support, re-injury anxiety, soccer, return to sport, rehabilitation
Year:
2025
Region / city:
Manchester
Subject:
Primary Mental Health Care, Psychological Wellbeing Practitioners
Document Type:
Handbook
Organization:
University of Manchester
Author:
PWP Teaching Team
Target Audience:
Supervisors of Trainee Psychological Wellbeing Practitioners
Period of validity:
Until next update
Approval Date:
September 2025
Date of modifications:
N/A
Document type:
Psychological report section
Purpose:
Application to SPED school offering National Curriculum for students with Autism Spectrum Disorder
Target population:
Children with Autism Spectrum Disorder
Intended users:
Registered Educational or Clinical psychologists
Governing body reference:
Ministry of Education, Singapore
Professional guidelines referenced:
Professional Practice Guidelines for the Psycho-educational Assessment & Placement of Students with Special Educational Needs (2018)
Clinical guidelines referenced:
Clinical Practice Guidelines on Autism Spectrum Disorder in Children and Adolescents (2023)
Jurisdiction:
Singapore
Assessment instruments referenced:
Singapore Ability Scales
Validity period of assessment:
Within 2 years from date of application
Educational context:
Special Education (SPED)
Content scope:
Psycho-educational assessment, diagnosis, developmental, educational, intervention, and medical history
Authorship requirements:
Psychologists listed in the Singapore Register of Psychologists
Year:
2024
Region / City:
England
Topic:
Mental Health
Document Type:
Curriculum
Organization / Institution:
NHS England
Author:
Not specified
Target Audience:
Children and Young People’s Mental Health Practitioners
Period of Validity:
Not specified
Approval Date:
18 March 2024
Date of Changes:
Not specified
Year:
2023
Region / City:
Victoria, Australia
Subject:
Privacy and Information Collection
Document Type:
Collection Notice
Organization:
Department of Families, Fairness and Housing
Author:
Victorian Government
Target Audience:
National Redress Service recipients
Period of Validity:
Ongoing
Approval Date:
October 2023
Date of Changes:
October 2023
Year:
2023
Region / city:
Sheffield
Topic:
Psychological Wellbeing Practitioner training
Document type:
Handbook
Institution:
University of Sheffield
Author:
University of Sheffield
Target audience:
Trainees and clinical supervisors
Period of validity:
March 2023
Approval date:
March 2023
Date of changes:
N/A
Contextual description:
Handbook for postgraduate training in Low Intensity Psychological Interventions, outlining the course structure, requirements, and resources for trainees and clinical supervisors.
Note:
Year
Region / City:
Texas / Austin
Theme:
Psychology, Education
Document Type:
Informational Report
Organization / Institution:
Texas Behavioral Health Executive Council
Year:
2020
Course:
Postgraduate Diploma in High Intensity Psychological Interventions
Document Type:
Practice Portfolio Guidance
Institution:
University College London
Target Audience:
HIPI trainees
Submission Platform:
PebblePad
Assessment:
Internal Exam Board, PASS/FAIL/PASS Pending
Clinical Requirements:
8 focused CBT cases, minimum 100 hours mid-point, 200 hours final
Supervision:
University and service supervisors, CTS-R rated sessions
Membership Requirement:
BABCP number
Deadline:
As specified in Course Handbook
Year:
2007
Region / City:
United States
Topic:
Acculturation, Psychological Stress, Mental Health
Document Type:
Research Article
Institution:
N/A
Author:
Kaplan and Marks (1990), Rivera (2006), Mui and Kang (2006)
Target Audience:
Psychologists, Researchers, Academics
Period of Validity:
N/A
Approval Date:
N/A
Date of Changes:
N/A
Year:
2012
Region / City:
South West UK
Subject:
Mental Health, Psychological Therapies
Document Type:
Information Guide
Organization / Institution:
South West CYPIAPT Collaborative
Author:
Not specified
Target Audience:
Local organizations and services wishing to join the Collaborative
Period of Validity:
Ongoing as of 2016-17
Approval Date:
Not specified
Modification Date:
Not specified
Context:
Guide for organizations looking to join the South West CYPIAPT Collaborative, detailing the process and benefits of participation.
Year:
2020
Region / City:
New Zealand
Topic:
Telepsychology
Document Type:
Checklist
Organization / Institution:
New Zealand Psychological Society
Author:
Brian Dixon (Director, Scientific Issues, New Zealand Psychological Society)
Target Audience:
Psychologists providing remote psychological services
Period of Validity:
Not specified
Date of Approval:
Not specified
Date of Changes:
Not specified
Context:
Guide for psychologists on how to provide remote psychological services, including considerations for technology, client suitability, and session preparation.