CSHCN 2009 > Medical Nutrition Services > Medical Foods

24.2.2.1 Authorization Requirements

Authorization or prior authorization is not required if the client has one of the diagnoses listed below and the request is for covered items. Covered items are foods with nutritional value.

Prior authorization and documentation of medical necessity is required for all other diagnoses, new products, or products not listed as approved.

Providers must complete the form CSHCN Services Program Prior Authorization Request for Medical Foods located in Appendix B, on page B-54, for medical foods prior authorization requests.

Refer to: Section 4.3, "Prior Authorizations" for detailed information about prior authorization requirements.