Policy Updates Prior AuthorizationAnthem Blue Cross and Blue Shield | Medicare AdvantageJanuary 4, 2024

Long Term Acute Care (LTAC) Precertification Worksheet

Anthem Blue Cross and Blue Shield is the trade name of Anthem Health Plans of Maine, Inc. Independent licensee of the Blue Cross Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

MEAMH-CR-046587-23-CPN45771

ATTACHMENTS: Long Term Acute Care (LTAC) Precertification Worksheet (pdf - 1.56mb)