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Get the free Form 08MA005E (MS-MA-5) - Oklahoma Department of Human ... - okdhs

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Routing through the OHCA the recommended provider submits the original Form 08MA005E MS-MA-5 and required assessments/evaluations to 2401 NW 23rd St. Suite 1-A Oklahoma City OK 73107 If determining eligibility this form is sent or faxed to the local OKDHS HSC in the county of the patient s residence. Records and information pertaining to his or her hospitalization will be made available to OHCA or OKDHS or any representative authorized by OHCA fo...
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