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#2. Mary Decker, a 4-year-old who is covered under the CHIP program, presents to her
pediatrician for her annual well-child check and immunizations. Is prior authorization required
for the immunizations?
Reason:
#3: Scenario: Ethel Ramsey, a Medica:id recipient, has been diagnosed with chronic kidney
disease and will require hemodialysis. Is prior authorization required for hemodialysis to begin?
3. Reason
#4: Scenario: A cancer patient, covered by Medicaid, has acquired a Stage III pressure ulcer
following her hospital admission. Is prior authorization required for treatment of the pressure
ulcer?
4. Reason:

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