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How do I request Certification for other services such as Home Health Care, Hospice, and Infusion Therapy services?

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How do I request Certification for other services such as Home Health Care, Hospice, and Infusion Therapy services?

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To request Certification, print a copy of the applicable Certification Form. Please complete the form and FAX it directly to HealthChoice Healthcare Management. To access the following Certification Forms, follow the links below: Air Ambulance Chiropractic Treatment Durable Medical Equipment Home Health Care Hospice Care Infusion Therapy Medication or Treatment Request Mental Health Treatment Occupational Therapy Osteopathic/Physical Medicine Treatment Outpatient Chemical Dependency Physical Therapy Speech Therapy Synagis Request TMD/TMJ Authorization Xolair Request If youre unable to access the form you need from our website, please contact the HealthChoice Health Care Management Division at 1-405-717-8879 or toll-free 1-800-543-6044. ext.

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