FORMS
Need Adobe reader?
Click here to download: https://get.adobe.com/reader/
AUTHORIZATIONS
Need more information to complete your authorization?
Please see our Referral Form for guidance on the procedure codes we utilize.
PSSM TIN - 93-2014977
PSSM NPI - 1578249157


PSSM Ohio
p. 614.591.0020 f. 614.956.7011
We use cookies to analyze website traffic and optimize your website experience. By accepting our use of cookies, your data will be aggregated with all other user data.

Recent legislation did not authorize an extension of the Medicare telehealth flexibilities that were in place during the COVID-19 public health emergency through September 30, 2025.
See https://www.medicare.gov/coverage/telehealth for information on Medicare telehealth allowances.