Common use of Authorization Requests Clause in Contracts

Authorization Requests. The Deputy Director of Child and Youth Services or designee will authorize all payment for Outpatient Mental Health Services. Authorization will be based at a minimum on medical and service necessity criteria in State Medi-Cal guidelines and regulations. In order to be reimbursed Contractor must meet the following authorization requirements: a. Contractor must request prior authorization for payment from County using the Authorization Form or a similar from approved by County, and clinical documentation that establishes the need for Outpatient Mental Health Services. b. Contractor must provide an additional prior authorization for Outpatient Mental Health Services that exceed five (5) days per week. c. Contractor must request authorization for the continuation of Outpatient Mental Health Services at least every six (6) months or more frequently, if requested by County. d. Authorization must specify the number of days per week as well as the length of time Outpatient Mental Health Services will be provided.