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Request to Opt Out of the Medication
Therapy Management Program
If you would like to NOT participate in Positive Healthcare Partners (HMO SNP’s
Medication Therapy Management Program (MMP), please
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What is request to opt out?
A request to opt out is a formal request made by an individual or entity to be excluded from a particular program, service, or mailing list.
Who is required to file request to opt out?
Any individual or entity who wishes to not participate or receive information from a specific program or service is required to file a request to opt out.
How to fill out request to opt out?
To fill out a request to opt out, one must typically provide their name, contact information, and a clear statement expressing their desire to opt out.
What is the purpose of request to opt out?
The purpose of a request to opt out is to allow individuals or entities to control their participation in specific programs or services, and to manage the information they receive.
What information must be reported on request to opt out?
The information required on a request to opt out may vary, but typically includes the individual's or entity's identifying information and a reason for opting out.
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