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OHIO DEPARTMENT OF MEDICAID
Prior Authorization Oral Medication Assisted Treatment of Opioid Use Disorder
Please refer to MAC 473133, 47304, and 4723913 for reference
Pharmacy services provided by:
Gain
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What is med assisted formrapy pa?
Med Assisted Formrapy PA is a form used for reporting information related to medical assistance programs.
Who is required to file med assisted formrapy pa?
Healthcare providers and facilities participating in medical assistance programs are required to file Med Assisted Formrapy PA.
How to fill out med assisted formrapy pa?
You can fill out Med Assisted Formrapy PA by providing the required information accurately and completely as per the instructions provided on the form.
What is the purpose of med assisted formrapy pa?
The purpose of Med Assisted Formrapy PA is to ensure accurate reporting and tracking of services provided under medical assistance programs.
What information must be reported on med assisted formrapy pa?
Information such as provider/facility details, services provided, patient information, billing details, and any other required data must be reported on Med Assisted Formrapy PA.
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