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State of Maine Department of Health & Human Services (HHS) Maintain Services Prior Authorization Manual Provider Guide for MI HMS Prior Authorizations Date of Publication: 06/15/2010 Version: 1.0
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What is prior authorization manual?
Prior authorization manual is a document that outlines the process and requirements for obtaining authorization for certain medical services or procedures before they can be performed.
Who is required to file prior authorization manual?
Healthcare providers, insurance companies, and third-party administrators are usually required to file prior authorization manuals.
How to fill out prior authorization manual?
Prior authorization manuals are typically filled out by healthcare providers, who must submit detailed information about the proposed medical service or procedure, patient information, and reason for the request.
What is the purpose of prior authorization manual?
The purpose of the prior authorization manual is to ensure that medical services and procedures are necessary and appropriate, reducing unnecessary costs and improving quality of care.
What information must be reported on prior authorization manual?
Information such as patient demographics, medical history, proposed treatment plan, and supporting documentation from healthcare provider must be reported on prior authorization manual.
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