Utah Facility Network

UtahFacility Network

Downloads

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 TitleDescription
Standing Order Change FormStanding Order Change Form
Utah Department of Health Facility BrochureExplains the processes used to request transportation through the LogistiCare Facilities department.
HIPAA LetterLetter from Utah Department of Health confirming LogistiCare’s HIPAA Compliance
EDI Administrator User FormEDI Administrator User Form
Physician's CertificateForm to be completed by licensed medical professional when a member cannot use mass transit.
FSW GuideFSW Guide
Standing Order FormStanding Order Form

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