Providers for PPUC -
Services Requiring Prior Authorization

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PRIOR AUTHORIZATION REQUESTS

Pre-authorization requests and supporting documentation may be submitted in the following ways:

ALL AUTHORIZATIONS MUST CONTAIN ALL SUPPORTING DOCUMENTATION.

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

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:

  • Completed appeal letter
  • Supporting documentation
  • Copy of original NOA letter