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Get MA Blue Cross Recertification Form For SNF/Rehab/LTCH 2019-2024

5 Medicare Advantage members: 1-800-205-8885 BCBSMA employees: 1-617-246-4299 Use this form to request recertification for long-term care hospital, rehabilitation hospital, or skilled nursing services. Policy reminder. When care for a member receiving treatment in your facility is needed beyond the date approved at their admission, we must receive your request 48 hours before the member is scheduled to be discharged. Section A. Member & Facility Information Member name: Date of birth (mm/dd/y.

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