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Record Description : Used to review cases for authorizing treatment and or service for Medicaid recipients. Requests may be either approved or denied. Types of treatment and/or service include: Supplies; ambulance; ambulate; dental; durable medical equipment, occupational therapy, out-patient hospital visits, pharmaceuticals-drugs, food supplements, physician visits, private nurse duty, hospital rehabilitation, special committee cases, transplant, and vision care. Includes: forms ODHS 3142, ODHS 3612, and ODHS 3542. Hard copy prior authorization requests are verified against MMIS requests listing.