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Office of Medicaid Board of Hearings Case Decisions

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Displaying 21 - 30 of 7120

Open PDF file, 366.86 KB,  Appeal 2112289 (PDF 366.86 KB)

ssue categories: Prior Authorization - Medical Procedures/Services

Open PDF file, 295.35 KB,  Appeal 2112310 (PDF 295.35 KB)

Issue categories: Prior Authorization - Orthodontic

Open PDF file, 301.03 KB,  Appeal 2112351 (PDF 301.03 KB)

Issue categories: Prior Authorization - Orthodontic

Open PDF file, 166.95 KB,  Appeal 2112365 (PDF 166.95 KB)

Issue categories: Prior Authorization, Orthodontic, Dismissal

Open PDF file, 273.78 KB,  Appeal 2112387 (PDF 273.78 KB)

Issue categories: Eligibility - Dismissal

Open PDF file, 168.33 KB,  Appeal 2112427 (PDF 168.33 KB)

Issue categories: Prior Authorization, Orthodontic, Dismissal

Open PDF file, 349.26 KB,  Appeal 2112446 (PDF 349.26 KB)

Issue categories: Prior Authorization - Orthodontic

Open PDF file, 890.97 KB,  Appeal 2112448 (PDF 890.97 KB)

Issue categories: Long Term Care, Patient Paid Amount, Coverage Start Date

Open PDF file, 367.01 KB,  Appeal 2112449 (PDF 367.01 KB)

Issue categories: Prior Authorization, Orthodontic

Open PDF file, 167.91 KB,  Appeal 2112451 (PDF 167.91 KB)

Issue categories: Prior Authorization, Orthodontic, Dismissal

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