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Get Cshc Form 2019-2024

Medicare Advantage members: 1-800-205-8885 BCBSMA employees: 1-617-246-4299 Clear form Use this form to request authorization (or initial precertification) for skilled nursing, long-term care hospital, or rehabilitation hospital services. To request recertification of an existing request, please use our SNF/Rehab/LTCH Clinical Recertification Request Form. Do not use this form to request authorization for physical, occupational, or speech therapy for members in long-term care. For authorizatio.

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