Carefirst Medicare Advantage Prior Authorization Form - Fax completed form with supporting medical documentation to: Web download and print this form to request prior authorization for outpatient physical, occupational or speech therapy services. Web find out which procedures and services require prior authorization for medicare advantage plans offered by carefirst. Web find various forms for administrative, authorization, credentialing, and other purposes on the carefirst provider portal.
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Web find out which procedures and services require prior authorization for medicare advantage plans offered by carefirst. Web find various forms for administrative, authorization, credentialing, and other purposes on the carefirst provider portal. Web download and print this form to request prior authorization for outpatient physical, occupational or speech therapy services. Fax completed form with supporting medical documentation to: