LTC-SNF, Pediatric and Adult Sub-Acute & ICF/DD

If you need assistance with Long-Term Care or Intermediate Care Facility – Developmentally Disabled or additional resources, go to our Skilled Nursing Resources web page.

Effective June 01, 2025, L.A. Care will no longer require prior authorization for LTC and ICF/DD service codes: 0101 and 0190.

The following service codes still require prior authorization:

  • 0101: LTC and ICF/DD Room and Board for NON-CONTRACTED facilities only
  • 0190: LTC Subacute for NON- CONTRACTED facilities only
  • 0191-0194: Skilled Level of Care
  • 0199: Pediatric Subacute with Rehabilitation Therapy and Ventilator Weaning Services

To request authorization that is needed for LTC or ICF/DD, complete and fax a Prior Authorization form.

  • Fax: 213-438-4877
  • Required Documents for ICF/DD:
    • L.A. Care Authorization Request Form
    • Certification for Special Treatment Program Services form (HS 231) signed by Regional Center
    • Medical Review/Prolonged Care Assessment (PCA) form (DHCS 6013A)

Please note: Initial ICF/DD placement needs to be coordinated with Regional Center