Form 384 Wheelchair / Seating Evaluation - Alabama

Form 384 Wheelchair / Seating Evaluation - Alabama

What Is Form 384?

This is a legal form that was released by the Alabama Medicaid Agency - a government authority operating within Alabama. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is form 384?
A: Form 384 is a Wheelchair/Seating Evaluation form used in Alabama.

Q: Who fills out form 384?
A: Form 384 is filled out by healthcare professionals who are evaluating a person's need for a wheelchair or seating equipment in Alabama.

Q: What is the purpose of form 384?
A: The purpose of form 384 is to assess the medical necessity and appropriate equipment for individuals requiring a wheelchair or seating in Alabama.

Q: Is form 384 specific to Alabama?
A: Yes, form 384 is specific to the state of Alabama and is used to comply with their Medicaid guidelines.

Q: Who can benefit from completing form 384?
A: Individuals who require a wheelchair or seating equipment and are eligible for Medicaid in Alabama can benefit from completing form 384.

Q: What information is required on form 384?
A: Form 384 requires information such as the individual's medical diagnosis, healthcare provider's assessment, equipment recommendations, and justification for the equipment.

Q: Are there any guidelines for completing form 384?
A: Yes, there are guidelines provided by the Alabama Medicaid Agency that should be followed when completing form 384.

Q: What happens after submitting form 384?
A: After submitting form 384, the Alabama Medicaid Agency will review the information and determine the eligibility and medical necessity for the requested wheelchair or seating equipment.

Q: Can form 384 be used for non-Medicaid purposes in Alabama?
A: Form 384 is primarily used for Medicaid purposes in Alabama, but healthcare providers may use it as a reference for non-Medicaid wheelchair and seating evaluations.

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Form Details:

  • Released on September 17, 2017;
  • The latest edition provided by the Alabama Medicaid Agency;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form 384 by clicking the link below or browse more documents and templates provided by the Alabama Medicaid Agency.

Download Form 384 Wheelchair / Seating Evaluation - Alabama

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