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Behavioral Health Substance Use Disorder (SUD) Prior Authorization Form (All substance use disorder services Level 3.1 and higher) Submit to: Behavioral Health Utilization Management Fax: 18554106638
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AmeriHealth Caritas District of Columbia is a managed care organization that provides Medicaid coverage to residents in the District of Columbia.
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Healthcare providers and organizations that participate in the AmeriHealth Caritas District of Columbia network may be required to file reports with the organization.
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