Aim specialty prior authorization

• Commonwealth of Massachusetts

  The MassHealth agency only reviews requests for prior authorization where prior authorization is required or permitted (see 130 CMR 420.410(B)). The provider must not start a service that requires prior authorization until the provider has requested and received written prior authorization from the MassHealth agency.

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• [DOC File]SECTION I

  https://info.5y1.org/aim-specialty-prior-authorization_1_b7ac0d.html

  If additional services (e.g., a new work experience or Short-Term Supports) are required, an additional authorization must be provided prior to the beginning of any approved service. Payment of the DOR Student Services Paid Work Experience Service is based on the receipt of the ISP or Deferment Report, the Progress Reports and the invoice.

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• [DOCX File]Provider Relations - Gonzaba Medical Group

  https://info.5y1.org/aim-specialty-prior-authorization_1_72c9f7.html

  When a prior authorization request is approved, GMG will notify the provider and patient so the provider may proceed with the service delivery. When an adverse determination is made, GMG will notify both the provider and enrollee with a formal written notification that includes member appeal rights and …

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• [DOC File]Anthem

  https://info.5y1.org/aim-specialty-prior-authorization_1_ded8f3.html

  AIM Specialty Health ... Prior authorization of the following services is required for Covered Individuals of BlueCare Health Plan, State of Connecticut, and Century Preferred/Century 90 plans with Managed Benefits. Hospice. Call 1-800-682-9169 for prior authorization.

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• SAFETY AND HEALTH PROGRAM MANAGEMENT GUIDELINES

  Prior to entering an IDLH atmosphere for rescue, the standby rescue person should notify management to take the responsibility for the rescue and to make sure the rescue is carried out appropriately. The employer should be advised of the rescue to ensure the rescue is necessary and that an emergency response team has been advised of the emergency.

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• [DOC File]Section I All Provider Manuals - Arkansas

  https://info.5y1.org/aim-specialty-prior-authorization_1_59a3a5.html

  B. Prior authorization for private duty nursing, hearing aids and hearing aid repair, extension of benefits for home health beneficiaries age twenty-one (21) and older, extension of benefits for personal care for beneficiaries age twenty-one (21) and older, medical supplies, and incontinence products;

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• [DOC File]Medical Management

  https://info.5y1.org/aim-specialty-prior-authorization_1_ed7d52.html

  The Foundation will deny payment for any services requiring authorization that are rendered without prior authorization. All services, whether pre-authorized or not, are subject to post-service claims review for appropriate coding and documentation. Local in-plan providers may directly refer to local in-plan specialists without prior authorization.

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• [DOCX File]Current Issues in Credentialing and Privileging

  https://info.5y1.org/aim-specialty-prior-authorization_1_125588.html

  The 24 ABMS member boards offer general and sub-specialty certificates. Each specialty board acts as an independent body determining its own requirements and policies for certification. The board accepts candidates for certification from persons who fulfill its requirements, administers certification exams, and issues certificates to those who ...

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• www11.anthem.com

  PRIOR AUTHORIZATION (800) 238-2227. REQUIRED. for elective and emergent admissions, outpatient surgery and transplants. May be required for outpatient diagnostic radiological services (MRA, MRI, PET, CT, nuclear cardiology, sleep study, specialty pharmacy) – call AIM Specialty Health (866) 714-1107. May be required for physical therapy services:

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• [DOC File]Pre-Service Review Request - Premera Blue Cross

  https://info.5y1.org/aim-specialty-prior-authorization_1_540c9f.html

  PRE-SERVICE/ PRIOR AUTHORIZATION REVIEW REQUEST. Request Date: URGENT – Urgent requests must include supporting documentation from the provider’s office, noting that standard timeframes for making a non-urgent determination could: seriously jeopardize the life/health of the patient or the ability to regain maximum function ...

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