Existing Referral/Authorization Modification Forms

Please note this is not for submitting a new authorization.

1- If your request is for authorization status, please check the notification center

2- If you’re having issues with your provider portal access, please contact the provider relations specialists at (619) 240-8933 for further assistance

3- If you have a question about services that do NOT require an authorization, please click on the following link: Services That Do Not Require Prior Authorization (Medi-Cal & Medicare) (page 1-4)

4- If you have a question about services that do require an authorization, please click on the following link: Services Requiring an Authorization (page 4 to end)

5- For any other questions or requests, please chose from the list below:

Provider Email Forms