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Out-of-State Skilled Nursing Facility Claims Require Prior Approval - July 18, 2023 (PDF 144KB)

Prior Authorization for Out of State Skilled Nursing Facilities (Archive) - January 11, 2012 (PDF 22KB)

Prior Authorization for Out of State Skilled Nursing Facilities Form (Archive) - January 11, 2012 (PDF 177KB)

Prior Authorization for Out of State Skilled Nursing Facilities (Archive) - October 20, 2011 (PDF 21KB)

Prior Authorization for Out of State Skilled Nursing Facilities Form (Archive) - October 20, 2011 (PDF 436KB)

Prior Authorization for Out of State Skilled Nursing Facilities (Archive) - September 22, 2011 (PDF 35KB)

Prior Authorization for Out of State Skilled Nursing Facilities Form (Archive) - September 22, 2011 (PDF 440KB)

Edit 02068 to Deny Starting in October - September 20, 2011 (PDF 13KB)