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Get KY DME Prior Authorization Form 2011-2024

Ted Request Requests for prior authorization (with supporting clinical information and documentation) should be sent to the Health Plan fourteen (14) days prior to the date the requested services will be performed. If a response has not been received within two (2) business days, call (877) 389-9457 to confirm your request has been received. By signing below, I certify that applying the standard review time frame may seriously jeopardize the life or health of the member or the member’s abilit.

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