This is a legal form that was released by the Washington State Department of Social and Health Services - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form 13-925A?
A: Form 13-925A is a Behavioral Health Administration (BHA) Non-formulary Drug Use Request form.
Q: Who can use Form 13-925A?
A: This form can be used by healthcare providers in Washington state.
Q: What is the purpose of Form 13-925A?
A: The purpose of this form is to request the use of non-formulary drugs for behavioral health treatment.
Q: What is a non-formulary drug?
A: A non-formulary drug is a medication that is not typically covered by insurance or included in a standard formulary.
Q: Why would someone need to request non-formulary drug use?
A: There may be certain cases where a non-formulary drug is necessary for a patient's treatment when other options have been exhausted.
Q: Is there a specific process for submitting Form 13-925A?
A: Yes, the form must be completed by the healthcare provider, including supporting documentation, and submitted to the BHA for review.
Q: How long does it take to get a response for a non-formulary drug use request?
A: The timeframe for a response may vary, but typically it takes several weeks for the BHA to review and make a decision on the request.
Q: Is there an appeals process if a non-formulary drug use request is denied?
A: Yes, if a request is denied, there is an appeals process available for healthcare providers to pursue.
Q: Who can I contact for more information about Form 13-925A?
A: For more information, you can contact the Behavioral Health Administration (BHA) in Washington state.
Form Details:
Download a printable version of DSHS Form 13-925A by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.