Medical Authorizations

Prior Authorization Forms

^*1 Optima Health Medicaid and Medicare Advantage plans include Optima Family Care, Optima Health Community Care, Optima Medicare Value (HMO), Optima Medicare Prime (HMO), Optima Medicare Classic (HMO), and Optima Community Complete (HMO D-SNP).

Medical Authorizations

Prior Authorization Forms

Reconsideration Form

Policies

Authorizations

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Medical Authorizations

Prior Authorization Forms

Reconsideration Form

Policies

Authorizations