Plan Poststabilization Authorization Contact Information (H&S Code sections 1262.8 and 1371.4)
Health Plans that require prior authorization for poststabilization care are required to submit to the Department specific contact information for noncontracting hospitals to use to obtain timely authorization for poststabilization care. Below is a link containing a list of Health Plans which require prior authorization for poststabilization care and their current contact information and telephone number(s). Health Plans are required to update their contact information as needed, but, at a minimum, on an annual basis. Health Plans that require prior authorization for poststabilization care are also required to provide noncontracting hospitals with this specific contact information.
Plan Poststabilization Authorization Contact Information
Below is a link for Health Plans that demonstrates how to submit or update plan-specific contact information.
Patient Notices (H&S Code section 1262.8)
Noncontracting hospitals are required to provide a written notice to patients who refuse to consent to transfer to their Health Plan’s contracted hospital for poststabilization health care services. The text of the notice is set forth in California Health and Safety Code section 1262.8(f). The notice warns patients that they will be financially responsible for any further care provided by the noncontracting hospital if they refuse to be transferred. The Department has translated this patient notice into the threshold Medi-Cal languages and printable and downloadable versions are available for use by hospitals by clicking on the appropriate links below for each specified language. See Section 1262.8(f) for further information related to patient notices.