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Which form do I submit, a Reopening Request Form or a Redetermination Form?

Access the Self-Service Options Web page to access the Appeals Decision Tree – Home Health and Hospice. This decision tree will take you through a series of questions about your claim to help you determine if a request for a reopening should be submitted, or if a redetermination (1st level of appeal) is appropriate. A link to the appropriate form will be provided once you reach the end of the questions.

You may also refer to the following Home Health and Hospice Web pages.

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