There are a few situations in which the regional center can pay for these services:

• When Medi-Cal and insurance coverage is denied and the regional center believes an appeal of the denial will not succeed;
• While Medi-Cal or insurance coverage is being pursued, and there has been no denial yet;
• While an appeal to Medi-Cal or insurance of a coverage denial is pending and there is no final decision yet; and
• When Medi-Cal or insurance coverage is granted but has not started yet.^[1]Section 4659(d).