This version of the form is not currently in use and is provided for reference only. Download this version of Form FA-29B for the current year.
This is a legal form that was released by the Nevada Department of Health and Human Services - a government authority operating within Nevada. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form FA-29B?
A: Form FA-29B is a Prior Authorization Reconsideration Request form.
Q: What does the form FA-29B do?
A: Form FA-29B is used to request reconsideration of a prior authorization decision in Nevada.
Q: Who can use the form FA-29B?
A: Any individual or healthcare provider affected by a prior authorization decision in Nevada can use Form FA-29B.
Q: What's the purpose of requesting a reconsideration with form FA-29B?
A: The purpose of requesting a reconsideration with form FA-29B is to contest a prior authorization decision and provide additional information or documentation to support the request.
Q: When should I submit form FA-29B?
A: Form FA-29B should be submitted within the specified time frame indicated in the prior authorization decision notification.
Q: What should I include when submitting form FA-29B?
A: When submitting form FA-29B, you should include a complete copy of the original prior authorization request and any additional supporting documentation that wasn't previously provided.
Q: Is there a fee for submitting form FA-29B?
A: No, there is no fee for submitting form FA-29B.
Form Details:
Download a fillable version of Form FA-29B by clicking the link below or browse more documents and templates provided by the Nevada Department of Health and Human Services.