Form FIS2288 Michigan Prior Authorization Request Form for Prescription Drugs - Michigan

What Is Form FIS2288?

This is a legal form that was released by the Michigan Department of Insurance and Financial Services - a government authority operating within Michigan. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the FIS2288 Michigan Prior Authorization Request Form?
A: The FIS2288 is a form used in Michigan for requesting prior authorization for prescription drugs.

Q: Who needs to fill out the FIS2288 form?
A: Healthcare providers in Michigan fill out the FIS2288 form when they need to request prior authorization for a prescription drug for their patients.

Q: What is the purpose of the FIS2288 form?
A: The purpose of the FIS2288 form is to obtain prior authorization from the insurance provider for a prescription drug before it can be covered by the insurance.

Q: How do I fill out the FIS2288 form?
A: You will need to provide information about the patient, the healthcare provider, the prescription drug, and the medical necessity for the drug on the FIS2288 form.

Q: What happens after I submit the FIS2288 form?
A: After you submit the FIS2288 form, the insurance provider will review the request and determine whether or not to approve the prior authorization for the prescription drug.

Q: Is there a fee for submitting the FIS2288 form?
A: No, there is no fee for submitting the FIS2288 form.

Q: How long does it take to get a response after submitting the FIS2288 form?
A: The response time after submitting the FIS2288 form may vary, but typically it takes a few business days for the insurance provider to review and respond to the request.

Q: Can I appeal a denied prior authorization request?
A: Yes, if your prior authorization request is denied, you have the right to appeal the decision and provide supporting documentation to support your appeal.