Get and Sign TX AETNA GR 69125 2018-2022 Form

Name: Texas Standardized Prior Authorization Request Form - Fill Out and Sign Printable PDF Template | signNow
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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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