Member Handbook (EOC)
Select your health plan to view the Member Handbook (EOC)
Medi-Cal
Public program for low income people
CommuniCare Advantage
Medicare and Medi-Cal benefits
Community y Más
Medicare plan for chronic care needs
Service authorization request
Resources for Providers
Providers
How to Request a Service Authorization
Follow these steps to request a service authorization
Open the Service Authorization List and look for the service code
Service Authorization List (Medi-Cal & Medicare)No authorization required
If the service does not require authorization, service may be rendered to the patient.
Authorization required
Contracted (In-Network)
Submit your request through the Provider Portal. If you don't have access to the Portal, please contact Provider Services.
Non-contracted (Out-of-Network)
Submit the 'Referral and Service Request Form' via Fax
Referral and Service Request FormCheck the status on a service authorization request
Contracted providers may follow up on their authorization request through our provider portal
If you don’t have access to the Provider Portal please contact Provider Services
Non-contracted providers only, follow up via email auths@chgsd.com to check authorization request status