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Substance Use Disorder Services Prior Authorization Request Form Fax form to: (206) 6527067 UM Department Phone: (800) 3365231 PLEASE TYPE or WRITE LEGIBLY or request will be returned as unable to

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What is substance use disorder services?

Substance use disorder services are programs and treatments designed to help individuals who are struggling with addiction to drugs or alcohol.

Who is required to file substance use disorder services?

Healthcare providers and facilities that offer substance use disorder services are required to file reports on these services.

How to fill out substance use disorder services?

To fill out substance use disorder services, providers must accurately report the type of services offered, number of patients treated, outcomes of treatment, and any other relevant information.

What is the purpose of substance use disorder services?

The purpose of substance use disorder services is to provide treatment and support for individuals struggling with addiction, helping them recover and improve their overall health and well-being.

What information must be reported on substance use disorder services?

Information such as the type of services provided, number of patients treated, outcomes of treatment, and any referrals or follow-up care must be reported on substance use disorder services.

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