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Get NY DoH Children And Family Treatment Supports Services Continuing Authorization Request Form

This form when requesting continuation of services. If the services are deemed appropriate, then a minimum of 30 visits will be authorized. Concurrent review will be completed as applicable after the first concurrent authorization. A telephonic request can be completed if necessary. Please note: No prior authorization is required for CFTSS. Providers should refer to MCO-specific guidance regarding notification requirements prior to service delivery. This form is NOT required to be used, but a s.

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