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Get and Sign Sunshine State Helath Plan Medicaid Prior Authorization Form

Get and Sign Sunshine Authorization Form

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TIN * Requesting Provider Contact Name Requesting Provider Name Phone Fax SERVICING PROVIDER / FACILITY INFORMATION Same as Requesting Provider Servicing NPI * Servicing TIN * Servicing Provider/Facility Name Servicing Provider Contact Name Phone Fax AUTHORIZATION REQUEST Primary Procedure Code * Start Date OR Admission Date * Diagnosis Code * (MMDDYYYY) (ICD-9) Additional Procedure Code End Date OR Discharge Date Total...
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Instructions and help about sunshine prior auth form

As I said we have some very good speakers at a point that are going to provide information sheet you today about Medicaid prior authorization Ruth Roberts is going to be speaking first and she is our IP mg quality compliance assistance and our request for approval specialists we also have guest speakers Todd stalling to the administrator for Home Services unlimited and L care and a telco Lemoine Bukh who is the president of EKF management she's also a registered nurse they're going to be able to provide information related to those home hEvalth medicaid services so what they're I'm going to go ahead and turn the presentation over to Ruth so Ruth I'm going to allow this to show your screen now ok ok let me get the slideshow started ok I'm Ruth Roberts and my primary role with IBM G is the RFA specialists and I help case managers when they have questions regarding equipment home Oz and vehicle mods and it ties in very closely because the equipment that you guys send request for through t

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