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• Cultural Sensitivity Training
• Prior Authorization (Fax Only)
• Behavioral Health & Substance Treatment (Fax Only)
• Medicaid Integration Residential Treatment (Fax Only)
• Home Health (Fax Only)
• Hospice (Fax Only)
• SNF, Acute Rehab and LTAC (Fax Only)
• Consent Form
• Medical Claim Form
• Authorization for Release of Information
• Organizational Provider Credentialing Application
• New Provider Add Request
• Practice Location Update Form
• Provider Termination Request Form
• U of Utah Health Plans Credentialing Policy
• Medical Prior Authorization List
• Medical Pharmacy Prior Authorization List
• Healthy U Medical Pharmacy Prior Authorization List
• Upcoming Changes to Codes Requiring Prior Authorization
• May 2022 Newsletter
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