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Health Choice Integrated Care Prior Authorization and Continued Stay Request form for Psychiatric Acute Hospitals and Subacute Facilities Instructions: Fax completed forms and required documents to
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How to fill out health choice integrated care

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What is health choice integrated care?
Health Choice Integrated Care is a managed care organization that coordinates physical and behavioral health care services for individuals receiving Medicaid in Arizona.
Who is required to file health choice integrated care?
Health care providers, facilities, and organizations that provide services to individuals enrolled in Medicaid through Health Choice Integrated Care are required to file.
How to fill out health choice integrated care?
Health Choice Integrated Care forms can be filled out online through their secure provider portal or submitted via mail or fax.
What is the purpose of health choice integrated care?
The purpose of Health Choice Integrated Care is to integrate physical and behavioral health care services to improve outcomes for individuals receiving Medicaid.
What information must be reported on health choice integrated care?
Providers must report information related to services provided, diagnoses, medications prescribed, and outcomes of care for individuals enrolled in Medicaid through Health Choice Integrated Care.
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