Utilization of Dispensing Validation System for Prior Authorization of Dentures and Sealants - March 2, 2010
(PDF 19KB)
Attention Dental Providers Billing Changes for “Repair Cast Framework” (D5620) - December 10, 2009 (PDF 11KB)
Enteral Formula Prior Authorization Revised Prescriber Worksheet - April 13, 2009 (PDF 18KB)
Orthodontic Provider Letter - Mar. 30 2006 (PDF 110KB)
Enteral
Formula Prescriber Worksheet - October 2005 (PDF 32KB)