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Get MPUP3077: PCP To Specialty Care Referral Process (RAF) - Partnershiphp

Ess (RAF) Original Date: 11/16/2005 Healthy Kids Revision Date: (Healthy Kids - 11/21/07, 11/19/08; 10/01/2010 Healthy Families 07/21/10); 10/01/10; 01/16/13 Applies to: Medi-Cal 5 Healthy Kids Reviewing Entities: Credentialing Approving Entities: BOARD Approval Signature: 5 Healthy Families IQI CEO P&T COMPLIANCE Robert Moore, MD, MPH PartnershipAdvantage QUAC FINANCE PAC Approval Date: 01/16/2013 I. ATTACHMENTS: Referral Authorization Form (RAF) (Healthy Kids) Referral.

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