14133.05. (Added by Stats. 2000, Ch. 93, Sec. 95.)
(a)Notwithstanding any other provision of law, a request…#
(a) Notwithstanding any other provision of law, a request for a treatment authorization received by the department shall be reviewed for medical necessity only.
(b)Any claim for a service that is authorized pursuant to…#
(b) Any claim for a service that is authorized pursuant to a treatment authorization request that qualifies for approval under the requirements established by the department in regulations shall be reduced in accordance with Section 14115.
(c)If a provider does not agree with the decision on a…#
(c) If a provider does not agree with the decision on a treatment authorization request, the provider may appeal the decision pursuant to procedures set forth in regulations adopted by the department.