♦ 310-GG, Attachment A – AHCCCS Certificate of Medical Necessity for Commercial Oral Nutritional Supplements for Members 21 years of age and older -initial or ongoing requests

Do not include Personal Health Information (PHI) in your comments.

  • Please ensure to include the Policy Page Number relating to each comment.
  • You will receive acknowledgement that your comments have been received. AHCCCS cannot provide responses to individual comments.

Proposed Policy:

 Attachment A – AHCCCS Certificate of Medical Necessity for Commercial Oral Nutritional Supplements for Members 21 years of age and older -initial or ongoing requests

Comment Deadline: November 11, 2018

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