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Updated: 02/2018 EMMA Approved: 03/2018 Request for Prior Authorization for (alpha) Website Form www.highmarkhealthoptions.com Submit request via: Fax 18554764158All requests for (alpha) require a
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Updated 02 DMMA approved refers to the latest version of the Department of Modernization and Management Approval.
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All employees in departments requiring approval from DMMA must file the updated 02 DMMA approved.
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To fill out updated 02 DMMA approved, employees need to follow the guidelines provided by the Department of Modernization and Management Approval.
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