PRIOR AUTHORIZATION REQUESTS

All prior authorization requests must be submitted via CCP's electronic provider portal, PlanLink.

ALL AUTHORIZATIONS MUST CONTAIN ALL SUPPORTING DOCUMENTATION.

For assistance with prior authorizations, please contact (866) 259-4272 or (855) 819-9506

• Services Requiring Prior Authorization
• Prior Authorization Request Form

SERVICE APPEALS

Service Appeals must be submitted in writing within 30 calendar days from the date of the Notice of Action (NOA) Letter by submitting an appeal letter to CCP.

The appeal request must include: