Form FA-15 Residential Treatment Center Prior Authorization - Nevada

What Is Form FA-15?

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.

FAQ

Q: What is Form FA-15?
A: Form FA-15 is a Prior Authorization form for Residential Treatment Centers in Nevada.

Q: What is a Residential Treatment Center?
A: A Residential Treatment Center is a facility that provides mental health treatment and support for individuals who require intensive care and supervision.

Q: Why is a Prior Authorization required for a Residential Treatment Center?
A: A Prior Authorization is required to ensure that the individual meets the necessary criteria for admission to a Residential Treatment Center and that the services are medically necessary.

Q: Who needs to complete Form FA-15?
A: The referring healthcare provider or the facility's representative needs to complete Form FA-15.

Q: What information is required on Form FA-15?
A: Form FA-15 requires information such as the individual's name, Medicaid ID, diagnosis, treatment plan, and supporting documentation.

Q: When should I submit Form FA-15?
A: Form FA-15 should be submitted at least 10 days prior to the anticipated admission to the Residential Treatment Center.

Q: How long does the Prior Authorization process take?
A: The Prior Authorization process usually takes up to 15 business days.

Q: What happens after Form FA-15 is approved?
A: Once Form FA-15 is approved, the individual can be admitted to the Residential Treatment Center and the services will be covered by Medicaid.