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KanCare Service Authorization Form. OTR 2025

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4.8 out of 5

41 votes

The document is a KanCare Service Authorization Form used by Sunflower Health Plan, Amerigroup, and UnitedHealthcare. It collects patient information, medical conditions, psychiatric treatment history, current risk assessments, prescribed medications, and services being requested. The form aims to facilitate the authorization of healthcare services based on specific criteria such as utilization of authorized units and timeframes for requests.

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Versions	Form popularity	Fillable & printable
2018	4.8 Satisfied (41 Votes)

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