Univita

Medicaid

Oklahoma Complete Health is pleased to announce that effective [UNIVITA_DATE], we have partnered with Univita Health, Inc., to provide Durable Medical Equipment (DME), Home Health and Home Infusion Pharmacy services to Oklahoma Complete Health members.

[NAME_PLURAL] selection of Univita was made to ensure that [NAME_PLURAL] members receive the most from their benefit plan, thus providing a positive impact on the member’s overall healthcare experience. For Prior Authorization Requests, please contact Univita Health Inc., via fax at 888-914-2202.

Please see attached revised Prior Authorization List [Link to form].

In the meantime, please feel free to contact Provider Services at [PROVIDER_NUMBER], with any questions.

Important Documents and Forms:

• Prior Authorization List [Link to form]
• Referring Provider Order Request Letter [Link to form]
• Referral Form [Link to form]
• CPAP-BIPAP Therapy Order Form [Link to form]
• CPAP Assessment Form [Link to form]
• Oxygen Therapy Request Form [Link to form]