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Get and Sign TX AETNA GR 69125 2018-2022 Form
Or
subscriber’s employer.
Beginning September 1, 2015, health benefit plan issuers must accept the Texas Standardized Prior Authorization
Request Form for Health Care Services if the plan requires prior authorization of a health care service.
In addition to commercial issuers, the following public issuers must accept the form: Medicaid, the Medicaid
managed care program, the Children’s Health Insurance Program (CHIP), and plans covering employees of the
state of Texas, most school districts,...
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