Service Authorization Requests (SARs)

  1. Are the equivalent of Medi-Cal TARS

  2. Are used in place of a TAR by the provider when billing CCS

  3. Should be obtained prior to treatment

  4. Available for the CCS eligible condition only. (all other conditions should be billed to Medi-Cal, to the clients own health insurance or responsible party)

 

A.   SAR Overview and Information

B.   SAR Tools

C.   SAR Forms:

     1.  New CCS Client

     2.  Existing CCS Client

     3.  Dental

D.  CCS Service Code Groupings (SGCs)

This section identifies California Children’s Services (CCS) Service Code Groupings (SCGs). 

An SCG is a group of procedure codes authorized to a CCS-approved provider for the provision of a group of related health care services that are authorized through the Service Authorization Request (SAR) process.  

An SCG SAR enables the provider to render care to a CCS client without obtaining repeated procedure-specific SARs.

Service Code Authorizes
Group 01 Physician Services
Group 02 Special Care Centers
Group 03 Transplant Centers
Group 04 Communication Disorder Centers Service
Group 05 Cochlear Implant Centers Service
Group 06 High Risk Infant (HRI) Follow-Up Service
Group 07 Orthopedic Surgeon
Group 08 RHC/FQHC Service
Group 09 Chronic Dialysis Clinic
Group 10 Ophthamology
Group 11 Medical Therapy
Group 12 Podiatry Service

If you are unable to find an answer to your question, please call Provider Relations at (916) 875-9900.