Tempus PDO Forms (Referral & Change)
New referral Form:
Change Form:
Please provide this form to the PDO PC team when changes occur so we can pause the authorization and/or end the authorization. This not only manages the participant’s PDO services but also prevents the potential for FWA, for example, if the participant has been hospitalized at which time there should be no hours billed for services rendered during the time of hospitalization.