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Oltl service authorization form 2025

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The OLTL Service Authorization Form is designed for Home and Community-Based Services (HCBS) Waiver Programs, facilitating the authorization of various services for consumers. It includes sections for personal information, service details, medical background, and specific needs related to daily living activities. The form outlines different waiver programs available, types of authorized services, and requires information on service provision dates and desired outcomes.

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