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MAP 9 MCO 20221Kentucky Medicaid MCO Prior
Authorization Request Form
Check the box of the MCO in which the member is enrolled
Aetna Better Health of KentuckyPassport Health Plan by Molina
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Individuals who are healthcare providers in the state of Kentucky and involved in providing services covered by Kentucky Medicaid MCO (Managed Care Organization) need to fill out the www.caresource.com/documents/ky-med-provider/kentucky-medicaid-mco-prior form.
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What is wwwcaresourcecomdocumentsky-med-providerkentucky medicaid mco prior?
Kentucky Medicaid MCO prior authorization documents provided by CareSource.
Who is required to file wwwcaresourcecomdocumentsky-med-providerkentucky medicaid mco prior?
Healthcare providers who are part of the Kentucky Medicaid MCO network.
How to fill out wwwcaresourcecomdocumentsky-med-providerkentucky medicaid mco prior?
Healthcare providers need to fill out the necessary information requested in the prior authorization form provided by CareSource.
What is the purpose of wwwcaresourcecomdocumentsky-med-providerkentucky medicaid mco prior?
The purpose is to request approval from the Medicaid MCO prior to providing certain medical services or treatments.
What information must be reported on wwwcaresourcecomdocumentsky-med-providerkentucky medicaid mco prior?
Information such as patient details, medical procedure codes, diagnosis, and the reason for the requested service.
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