Long Term Acute Care (LTAC) Precertification Worksheet

Anthem Blue Cross and Blue Shield is the trade name of Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc., dba HMO Nevada. Independent licensee(s) of the Blue Cross Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

MULTI-BCBS-CR-046584-23-CPN45771

ATTACHMENTS: Long Term Acute Care (LTAC) Precertification Worksheet (pdf - 1.12mb)