Long Term Acute Care (Ltac) and Out-of-State Rehab Prior Authorization Request Form is a legal document that was released by the South Dakota Department of Social Services - a government authority operating within South Dakota.
Q: What is Long Term Acute Care (LTAC)?
A: LTAC refers to a specialized type of hospital care for patients who require extended hospitalization.
Q: What is an Out-of-State Rehab Prior Authorization Request Form?
A: It is a form used to request permission from the state of South Dakota for an individual to receive rehabilitation services in a facility located outside of the state.
Q: When is the Out-of-State Rehab Prior Authorization Request Form required?
A: The form is required when an individual who is covered by South Dakota Medicaid desires to receive rehabilitation services in an out-of-state facility.
Q: Why is prior authorization needed for out-of-state rehab?
A: Prior authorization is needed to ensure that the requested services are medically necessary and appropriate for the individual's condition.
Form Details:
Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the South Dakota Department of Social Services.