MCCCD Program Description

Major: 5257N Catalog Year: 2024-2025 Effective Term: 2025 Spring Last Admit Term: 9999 Award: CCL Total Credits: 11 CIP Code: 52.0411	Primary College: Initiating College: Rio Salado College Program Availability: Not Found Program Availability: College-Specific Program Availability: College Specific: RS Field of Interest: Business, Entrepreneurialism and Management Instructional Council: Business/Management GPA: 2.00
SOC Code: Upon completion of this certificate, students may pursue a career as: 43-4051.00 Customer Service Representatives

Description: The Certificate of Completion (CCL) in Prescription Prior Authorization: Customer Service program is designed to provide students with the training required for employment in the federal prescription healthcare field. Courses will cover prior authorization procedures and systems for federal employees, including account procedures, eligibility, and claims in addition to authorizations and change in therapy procedures.

Program Competencies
1. Describe Clinical Authorization System (CAS) organization. (CSR144) 2. Compare and contrast federal prior authorization programs and systems. (CSR144, CSR145, CSR146) 3. Demonstrate account procedures. (CSR144, CSR145, CSR146) 4. Verify program eligibility. (CSR144, CSR145, CSR146) 5. Manage Federal Employee Program (FEP) drug benefits. (CSR144, CSR145, CSR146) 6. Summarize claims processing and adjudication. (CSR145) 7. Review change in therapy procedures. (CSR146)

Program Notes
This program is not eligible for Title IV Federal Financial Aid. Students must earn a grade of C or better in all courses within the program.

Admission Criteria
This program is offered through an educational partnership. Employment by the partnership organization is required for admission.

Required Courses

CSR144 Prior Authorization Programs and Systems 3
CSR145 Prescription Prior Authorization I 4
+ CSR146 Prescription Prior Authorization II 4

Credits: 11

Restricted Electives
	Credits:

General Electives
	Credits:

+ indicates course has prerequisites and/or corequisites.
++ indicates that any suffixed course may be selected.

MCCCD Governing Board Approval Date: November 26, 2024

All information published is subject to change without notice. Every effort has been made to ensure the accuracy of information presented, but based on the dynamic nature of the curricular process, course and program information is subject to change in order to reflect the most current information available.