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9/9/2016 Prior Authorization Form PASSPORT HEALTH PLAN KENTUCKY MEDICAID Products This fax machine is located in a secure location as required by HIPAA regulations. Complete/review information, sign
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Gather all the necessary documents such as proof of identity, proof of residency, and social security number.
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Download the passport health plan application form from their official website or obtain it from their office.
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Passport Health Plan Kentucky is a Medicaid managed care plan serving the state of Kentucky.
Individuals eligible for Medicaid in Kentucky are required to enroll in Passport Health Plan for their healthcare coverage.
To enroll in Passport Health Plan Kentucky, individuals can visit their website or contact their customer service for assistance with the enrollment process.
The purpose of Passport Health Plan Kentucky is to provide Medicaid beneficiaries in Kentucky with access to healthcare services and support for their medical needs.
Individuals enrolling in Passport Health Plan Kentucky must provide personal information, income verification, and details about their healthcare needs.
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