CMSP’s list of services requiring prior authorization is subject to change. For the most updated list of services requiring prior authorization, click here.
CMSP covers inpatient mental health services provided by specific facilities participating in the CMSP network. Inpatient mental health services and psychiatric health facilities must be authorized by county mental health departments in the county where the member resides. For a list of mental health organizations, click here.
The CMSP Standard Provider Operations Manual includes general information including but not limited to covered services, billing instructions, and authorization requirements.
The CMSP Primary Care Benefit Pilot Program Transitional Addendum includes general information including but not limited to covered services, billing instructions, and pilot program run out processes.
For a list of CMSP Approved Procedure Codes with No Share of Cost, click
For a detailed list of covered dental benefits and limitations, click here.
To access the 2014 Medicare and Medicaid Fraud and Abuse Prevention Workbook, click here.