Get the free Authorization Request for Extension of Outpatient Therapy (TP-2)

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CSH CN Services Program Authorization Request for Extension of Outpatient Therapy (TP2) Form and Instructions General Information Ensure the most recent version of the Authorization Request for Extension

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What is authorization request for extension?

Authorization request for extension is a formal request to extend a previously granted authorization.

Who is required to file authorization request for extension?

Any party seeking an extension of a previously granted authorization is required to file an authorization request for extension.

How to fill out authorization request for extension?

Authorization request for extension can be filled out by providing all necessary information and documentation required by the relevant authority.

What is the purpose of authorization request for extension?

The purpose of authorization request for extension is to formally request an extension of a previously granted authorization.

What information must be reported on authorization request for extension?

Authorization request for extension must include details about the original authorization, reason for extension request, proposed extension period, and any supporting documentation.

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