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Outpatient Rehabilitation Children with Special Needs Prior Authorization Form Page 1 of 2 Please return completed form to the Utilization Management Department at (401)4596023. Please refer to Neighborhoods
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Outpatient rehab - neighborhood refers to rehabilitation services that are provided to individuals in their local community instead of a hospital or residential setting.
Healthcare providers or facilities offering outpatient rehabilitation services are required to file outpatient rehab - neighborhood.
Outpatient rehab - neighborhood forms can be filled out online or submitted in person at the designated healthcare facility.
The purpose of outpatient rehab - neighborhood is to provide individuals with access to rehabilitation services close to their homes, allowing for easier and more convenient treatment.
Information such as patient demographics, treatment received, healthcare provider details, and insurance information must be reported on outpatient rehab - neighborhood forms.
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