Dental Intravenous Sedation and General Anesthesia authorization requirements
| Date: | July 25, 2016 |
| To: | Health Plan of San Joaquin (HPSJ) Providers and Dental Surgery Centers |
| From: | HPSJ Provider Services Department |
| Subject: | Dental Anesthesia |
| Business: | Medi-Cal, AIM (now known as Medi-Cal Access Program) |
Effective September 24, 2016
In order to provide clarification on the Dental Intravenous Sedation and General Anesthesia authorization requirements, Health Plan of San Joaquin has revised the policy for our network providers.
Following is the important clarifying addition.
- HPSJ requires that before the procedure can be authorized, medical clearance for general anesthesia or conscious sedation must be received from the PCP or MD anesthetist and that the documents must be dated within the previous thirty (30) calendar days of the planned procedure.
HPSJ believes that patient safety comes first. Employing best practices promotes successful outcomes. If you have any further questions, please contact our Provider Services Department at 209-942-6340.