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MEDICAL PROVIDER

REFERRAL/ CLAIMS GENERAL INFORMATION


The Utilization Review Unit provides authorization and payment of claims for services for the following programs.

  • Santa Barbara Regional Health Authority (Medi-Cal)
    • Authorization of patients capitated to Santa Barbara County Public Health Clinics-Authorization only.
  • Medically Indigent Adult Service Program (MIA) or (MIASP)
    • Referrals are required for non-emergency services.
    • Faxes are accepted.
    • Click here to download the Referral Authorization Fax (RAF) form in Adobe Acrobat format.
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  • California Health Care for Indigents Program (CHIP)
  • Children Health and Disability Program - Treatment Program.
Claims are submitted to:

Santa Barbara County Public Health Department
345 Camino Del Remedio
Santa Barbara, CA 93110
Att: Utilization Review

Claims must be submitted on the following forms:

  • UB-92 HCFA (Hospital Services)
  • HCFA 1500 (Office Services)
  • DC-002A Denti Cal form (CHDP-TP)
  • Medi-Cal forms are accepted for Optometry and other service areas not listed above.

Questions regarding billing can be directed to Utilization Review

Phone 805 681-5390
FAX 805 681-5424

Copyright 1997-2002 Public Health Department, Santa Barbara County. All Rights Reserved.
Page last updated March 12, 2002 .
Click HERE to contact the Utilization Review Program.
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