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This version of the form is not currently in use and is provided for reference only. Download this version of
Instructions for Form FA-16B
for the current year.
Instructions for Form FA-16B Home Health Agency - Private Duty Nursing (Pdn) Services Only Prior Authorization Request - Nevada
This document contains official instructions for Form FA-16B , Home Health Agency - Private Duty Nursing (Pdn) Services Only Prior Authorization Request - a form released and collected by the Nevada Department of Health and Human Services. An up-to-date fillable Form FA-16B is available for download through this link.
FAQ
Q: What is Form FA-16B?
A: Form FA-16B is a Prior Authorization Request form for Home Health Agency - Private Duty Nursing (PDN) Services Only. It is used in Nevada.
Q: What is the purpose of Form FA-16B?
A: The purpose of Form FA-16B is to request prior authorization for Home Health Agency - Private Duty Nursing (PDN) Services Only.
Q: Who needs to fill out Form FA-16B?
A: Form FA-16B needs to be filled out by the home health agency providing Private Duty Nursing (PDN) services.
Q: Are there any fees associated with Form FA-16B?
A: No, there are no fees associated with Form FA-16B.
Instruction Details:
- This 5-page document is available for download in PDF;
- Actual and applicable for the current year;
- Complete, printable, and free.
Download your copy of the instructions by clicking the link below or browse hundreds of other forms in our library of forms released by the Nevada Department of Health and Human Services.
Download Instructions for Form FA-16B Home Health Agency - Private Duty Nursing (Pdn) Services Only Prior Authorization Request - Nevada
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