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Kentucky Medicaid MCO Universal Prior Authorization form (PDF)
Aetna physical health (PH) prior authorization request (PDF)
Aetna behavioral health (BH) prior authorization (PDF)
Aetna multisystemic therapy (MST) prior authorization (PDF)
Aetna electroconvulsive therapy (ECT) and transcranial magnetic stimulation (TMS) request form (PDF)
Aetna psychological and neuropsychological test request form (PDF)
Aetna outpatient treatment request (OTR) form (PDF)
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