[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-287308-105":53,"doc-detail-287308-en":126},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":119,"head_meta":121,"extra_data":123,"updated_unix":125},105,"en","reminder-prior-authorization-signature-requirements-may-2023","Reminder - Prior Authorization Signature Requirements - May 2023","","This document serves as a formal regulatory reminder for pharmacy providers and prescribers regarding the mandatory signature requirements for submitting prior authorization (PA) requests to Medi-Cal Rx. It explicitly mandates that all PA forms, including the preferred Medi-Cal Rx PA Request Form and standard forms like 50-1, 50-2, and 61-211, must feature an original, handwritten signature in ballpoint pen alongside the date. The text clarifies that stamps, typed names, initials, and facsimile signatures are strictly prohibited to ensure compliance. Providers are encouraged to adhere to these verification standards to prevent submission rejections. For technical support or additional guidance, the document provides direct access to the Medi-Cal Rx Customer Service Center and the Education & Outreach email address, ensuring comprehensive support for healthcare practitioners navigating these essential administrative protocols.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":41,"@type":70,"position":76},"https://docshare.wps.com/template/letters/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/reminder-prior-authorization-signature-requirements-may-2023/287308/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/reminder-prior-authorization-signature-requirements-may-2023/287308.png","ImageObject",442,249,{"name":88,"@type":89},"Felix Montgomery","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-09-26","2026-09-17",true,{"@type":98,"interactionType":99,"userInteractionCount":47},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"What are the specific signature requirements for Medi-Cal Rx prior authorization forms?","Question",{"text":108,"@type":109},"Forms must contain an original, handwritten signature by the provider or their authorized representative, completed in ballpoint pen, along with the date of signing.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"Which methods of signing prior authorization forms are considered unacceptable?",{"text":113,"@type":109},"Stamps, typed signatures, initials, and facsimile (faxed) signatures are not accepted by Medi-Cal Rx.",{"name":115,"@type":106,"acceptedAnswer":116},"How can providers get assistance with prior authorization questions?",{"text":117,"@type":109},"Providers can contact the Medi-Cal Rx Customer Service Center at 1-800-977-2273 or email the Education & Outreach department.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},287308,1790037271,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":40,"category_name":41,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":47,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":73,"language":135,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":136,"faqs":137,"seo_title":138,"seo_description":61,"update_tm":139,"read_time":9},549768064778,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","Reminder: Prior Authorization Signature Requirements  \nMay 4, 2023  \nWhat Pharmacy Providers and Prescribers Need to Know  \nThe purpose of this alert is to remind pharmacy providers and prescribers about signature requirements when submitting prior authorizations (PAs) to Medi-Cal Rx. Providers may submit PAs to Medi-Cal Rx via fax or mail using the following forms:  \n􀁹  Medi-Cal Rx PA Request Form (preferred)  \n􀁹 Medi-Cal Form 50-1  \n􀁹 Medi-Cal Form 50-2  \n􀁹 California Form 61-211  \nMedi-Cal Rx requires providers or their designees to sign and date all PA requests. An original signature is required on all forms. The signature must be written, not printed. Stamps, initials, or facsimile signatures are not acceptable. When signing, use a ballpoint pen.  \nWhat Pharmacy Providers and Prescribers Need to Do  \nAll written signatures for PAs must meet the following criteria:  \n􀁹 Original written signature by the provider (or their authorized representative) using a ballpoint pen.  \n􀁹 Date signed.  \nCommon Mistakes  \nAll signatures must be original, and forms cannot be signed using the following methods:  \n􀁹 Stamps  \n􀁹 Typed (for example, John Doe, John Doe)  \n􀁹 Initials (for example, JD, JD)  \n􀁹 Facsimiles  \nContact Information  \nYou can call the Medi-Cal Rx Customer Service Center (CSC) at 1-800-977-2273, which is available 24 hours a day, 7 days a week, 365 days per year.  \nFor other questions, email Medi-Cal Rx Education & Outreach at [MediCalRxEducationOutreach@magellanhealth.com](MediCalRxEducationOutreach@magellanhealth.com).","cbCaipzSJHHXdedq","https://ap.wps.com/l/cbCaipzSJHHXdedq","pdf",175720,"English","# Prior Authorization Signature Requirements\n## Submission Methods\n## Signature Compliance Criteria\n## Common Signature Errors\n## Support and Contact Information","[{\"question\":\"What are the specific signature requirements for Medi-Cal Rx prior authorization forms?\",\"answer\":\"Forms must contain an original, handwritten signature by the provider or their authorized representative, completed in ballpoint pen, along with the date of signing.\"},{\"question\":\"Which methods of signing prior authorization forms are considered unacceptable?\",\"answer\":\"Stamps, typed signatures, initials, and facsimile (faxed) signatures are not accepted by Medi-Cal Rx.\"},{\"question\":\"How can providers get assistance with prior authorization questions?\",\"answer\":\"Providers can contact the Medi-Cal Rx Customer Service Center at 1-800-977-2273 or email the Education \\u0026 Outreach department.\"}]","Reminder - Prior Authorization Signature Requirements - May 2023 | PDF",1789632139]