Welcome to the Department of Health Care Services Welcome to Medi-Cal Welcome to the Department of Health Care Services

Medi-Cal Logo
Click to Sign Up for MCSS emails

Reminder: Guidelines for SAR and eSAR Submission

September 7, 2016

Senate Bill 1457 requires that California Children’s Services (CCS) and Genetically Handicapped Persons Program (GHPP) providers submit Service Authorization Requests (SARs) in an electronic format for fee-for-service claims. This policy eliminates paper format SARs for most providers.

Starting September 12, 2016, SARs for CCS and GHPP claims may be submitted electronically via an ASC X12 278 transaction. To submit electronic Service Authorization Requests (eSARs), providers must:

  • Register as an active Medi-Cal provider
  • Register as a Trading Partner with the Department of Health Care Services, Systems of Care Division, Children’s Medical Services (CMS) eSAR system and
  • Be able to generate one of the supported file transmission formats:
    • File based: Use the Web-based file upload utility in the eSAR system to submit ASC X12 278 transactions, or
    • SOAP/HTTPS based: Use HTTPS, secure Web services method to transmit and receive ASC X12 278 transactions

Paper SAR submissions remain an option for small providers, low-volume SAR submitters and when electronic (eSAR) submission is not possible due to technical limitations or practicality.

Providers interested in switching from paper SAR to eSAR submission should contact the CMS Help Desk at cmshelp@dhcs.ca.gov or 1-866-685-8449 for additional information.