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Prior authorization
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#	Item
161	Important Announcement Regarding Behavioral Health Prior Authorization As of October 1, 2014, MDwise Hoosier Healthwise (HHW)/Healthy Indiana Plan (HIP) will no longer require Prior Authorization for in-network providers Add to Reading List Source URL: www.mdwise.org - Date: 2014-10-02 19:41:57
162	Medicare Prior Authorization of Power Mobility Devices Demonstration Status Update (Posted[removed]The Medicare Prior Authorization of Power Mobility Devices (PMDs) Demonstration began on September 1, 2012 in Californ Add to Reading List Source URL: www.cms.gov Language: English - Date: 2014-09-18 18:12:42 Medicare Medicaid Government Health Public policy Federal assistance in the United States Healthcare reform in the United States Presidency of Lyndon B. Johnson
163	United States Department of the Interior DI-4002: Rules of Behavior for Computer Network Users As a DOI computer network user, you must understand and agree to these rules of behavior prior to being granted access to the Add to Reading List Source URL: www.doi.gov Language: English - Date: 2014-11-13 08:23:07 National security Public safety Computer network security Information security Internet privacy Computer network Authorization Security awareness User Security Computer security Crime prevention
164	[removed]Mississippi Division of Medicaid Synagis® Prior Authorization Criteria* Beneficiaries must meet at least one of the bullet point criteria for age at beginning of the RSV season. Age ≤ 1 year at start of RSV se Add to Reading List Source URL: www.medicaid.ms.gov Language: English - Date: 2014-12-16 19:38:03 Viral diseases AstraZeneca Palivizumab Human respiratory syncytial virus Cystic fibrosis Bronchiolitis Oxygen therapy Heart failure Medicine Health Pediatrics
165	Antipsychotic Drug Monitoring Prior Authorization Criteria for Psychotropic Drugs submitted by Nevada During FFY2011, Nevada Medicaid adopted prior authorization criteria for psychotropic medications for children and ado Add to Reading List Source URL: medicaid.gov Language: English - Date: 2014-12-04 14:15:59
166	FORM INSTRUCTIONS DHS 1144B (Rev[removed]Request for Medical Authorization of Home Infusion or Medication Prior Authorization (PA) PURPOSE: Fee For Service program request for medical authorization of home infusion or me Add to Reading List Source URL: med-quest.us Language: English - Date: 2012-01-27 15:57:25 Medicare Health Government Medicine Identifiers Healthcare Common Procedure Coding System National Provider Identifier
167	New DME and O&P Prior Authorization List Effective[removed]Please note: Effective[removed], New Hampshire Healthy Families will move to a standardized list of Durable Medical Equipment and Orthotic and Prosthetic items re Add to Reading List Source URL: www.nhhealthyfamilies.com Language: English - Date: 2014-10-07 13:54:46 Healthcare Medical equipment Patient lift Motorized wheelchair Bed Sling Furniture Health Wheelchairs
168	Passport Health Plan Prior Authorization Fuzeon® Procedure and Required Information, HIV RNA Tracking, and Medication History (Documenting Failure to Oral Anti-Retroviral Therapy) Add to Reading List Source URL: www.passporthealthplan.com Language: English - Date: 2014-03-31 16:23:21 Chemistry Antiretroviral drug Viral load HIV Zidovudine Pharmacy Compliance Enfuvirtide HIV/AIDS Medicine Health
169	Passport Health Plan Medication Prior Authorization Note: Form must be completed in full. An incomplete form may be returned. Information on this form is protected health information and subject to all privacy and securi Add to Reading List Source URL: www.passporthealthplan.com Language: English - Date: 2014-03-31 16:23:51 Pharmacy Health Insurance Portability and Accountability Act Military discharge Law Technology Fax Office equipment
170	Specialty Drug List Blue Cross of Idaho regards the following list of medications as specialty drugs. Most specialty drugs require prior authorization from Blue Cross of Idaho for medical necessity. If covered, Blue Cros Add to Reading List Source URL: members.bcidaho.com Language: English - Date: 2014-12-18 11:40:48 Medicine CVS Caremark Providence County Rhode Island Caremark Rx Lamivudine Medical prescription Pharmacy Pharmaceutical drug Abacavir Pharmacology Pharmaceutical sciences Chemistry

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