California Health and Safety Code section 1374.724
Based on information submitted to the DMHC, below is a list of the Health Plans’ specific telephone numbers for noncontracting providers to obtain prompt authorization for the transfer of a stabilized enrollee's care to another provider or authorization to provide poststabilization care.
Plan Contact |
Phone Number |
Alameda Alliance For Health |
Alliance Authorization Unit |
1-510-747-4540 |
Blue Cross of California (Anthem Blue Cross) |
Commercial Utilization Management
Medi-Cal Utilization Management
|
800-274-7767
888-831-2246, option 3
|
Carelon Behavioral Health of California, Inc. |
Carelon Behavioral Health of California, Inc. Member Services |
800- 228-1286 |
Community Care Health Plan, Inc. |
Community Care Health |
888-425-4800 |
Health Net of California, Inc. |
Health Net |
844-966-0298 |
Kaiser Foundation Health Plan, Inc. (Kaiser Permanente) |
Northern California Region: Post Admission Outside Utilization Review Services -NCAL (OURS-N)
Northern California Region: Pre Hospital Admission: Emergency Prospective Review Program
Southern California Region: Post Admission Outside Utilization Resource Services
Southern California Region: Pre Hospital Admission: Emergency Prospective Review Program
|
888-859-0880
800-447-3777
800-225-8883
800-447-3777
|
L.A. Care Health Plan Joint Powers Authority |
Carelon National Provider Service Line |
800-397-1630 |
Local Initiative Health Authority for Los Angeles County (L.A. Care Health Plan) |
Carelon National Provider Service Line |
800-397-1630 |
Molina Healthcare of California |
Emergency Department Support Unit |
844-966-5462 |
Monarch Health Plan, Inc. |
Monarch Health Plan, Inc.
Monarch Health Care
|
866-519-5006 opt.1
Fax 310-793-5416
|
Optum Health Plan of California |
Optum Health Plan of California (OHPC)
Optum, formerly HealthCare Partners
Optum Care Network (OCN) – AppleCare
Optum Care Network (OCN) – LA Family Community
|
Out-of-Area Department
866-519-5006 opt.1
Fax 310-793-5416
|
PRIMECARE Medical Network, Inc. |
THE Optum CARE COORDINATION HUB |
844-364-8304 |
San Mateo Health Commission (Health Plan of San Mateo) |
Janet Davidson (Utilization Review Manager)
|
650-616-2072 |
Santa Clara County (Valley Health Plan) |
Valley Health Plan Admissions Notification |
855-254-8264 |
Sutter Health Plan (Sutter Health Plus) |
Behavioral Health Provider Services |
800-999-9585 |
U.S. Behavioral Health Plan, California (OptumHealth Behavioral Solutions of California) |
USBHPC Telephone Number
|
800-999-9585
|