Participating Provider Precertification List
Quality health plans & benefits Healthier living Financial well-being Intelligent solutions Participating Provider Precertification List Effective July 1, 2014
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manuals.momed.com- the provider of services must sign the request and indicate the date the form was completed. Number of Hours Used on Current Precertification - list the number of hours used on current precertification. if there is more than one current certification, list the therapy type along with the number of hours used.