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Department of Vermont Health Access (DOHA) Request for Prior Authorization for Re/rehabilitation Therapy Services:As of 1/1/23, prior authorization for Physical Therapy, Occupational Therapy, and
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How to fill out prior authorization changes for

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How to fill out prior authorization changes for

01
Contact the insurance company or pharmacy benefit manager to request a prior authorization form.
02
Fill out the form completely with accurate information about the patient, prescriber, medication, and medical necessity.
03
Provide any supporting documentation such as medical records or test results to justify the need for the medication.
04
Submit the completed form and supporting documents to the insurance company for review.
05
Follow up with the insurance company to ensure the prior authorization request is approved in a timely manner.

Who needs prior authorization changes for?

01
Patients who are prescribed medications that require prior authorization by their insurance company.
02
Healthcare providers who need to obtain approval for medications that are not on the formulary or have restrictions.

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Prior authorization changes are necessary for ensuring that certain medical procedures or treatments are approved by insurance companies before they are carried out.
Healthcare providers, such as doctors, hospitals, and clinics, are required to file prior authorization changes.
Prior authorization changes can be filled out by providing detailed information about the patient, the treatment or procedure being requested, and any supporting documentation.
The purpose of prior authorization changes is to prevent unnecessary medical expenses and ensure that treatments are medically necessary.
Information such as patient demographics, medical history, treatment plans, and supporting documentation must be reported on prior authorization changes.
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