MEDICAID - DPHHS
6-Month Medical Necessity and Utilization Review. EPSDT . Rea. uthorization & Certificate of Medical Necessity. Requests for . Medicaid-HMK+ (up to age 21) and CHIP-HMK (up to age 19) Autism Treatment Services applications for continued services are considered on a case-by-case basis. Please complete entire form and submit all required ... ................
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