Kancare Prior Authorization Termination of Pbs Services Form - Kansas

Kancare Prior Authorization Termination of Pbs Services Form is a legal document that was released by the Kansas Department for Aging and Disability Services - a government authority operating within Kansas.

FAQ

Q: What is the Kancare Prior Authorization Termination of Pbs Services Form?
A: The Kancare Prior Authorization Termination of Pbs Services Form is a form used in Kansas to request the termination of services covered under the Preferred Benefit Services (PBS) program.

Q: What is the purpose of the Kancare Prior Authorization Termination of Pbs Services Form?
A: The purpose of the form is to request the termination of services that were previously authorized under the Preferred Benefit Services (PBS) program in Kansas.

Q: Who needs to complete the Kancare Prior Authorization Termination of Pbs Services Form?
A: The form needs to be completed by the provider who wishes to terminate services covered under the Preferred Benefit Services (PBS) program.

Q: What information is required on the Kancare Prior Authorization Termination of Pbs Services Form?
A: The form requires information such as member details, provider details, details of the services to be terminated, and the reason for termination.

Q: Is there a deadline for submitting the Kancare Prior Authorization Termination of Pbs Services Form?
A: There may be a specific deadline for submitting the form, which can vary. It is best to check with your Kansas Medicaid office for the exact deadline.

Q: What happens after the Kancare Prior Authorization Termination of Pbs Services Form is submitted?
A: After the form is submitted, the Kansas Medicaid office will review the request and make a determination on whether to approve or deny the termination of services.

Q: Can I appeal if my request for termination of services is denied?
A: Yes, if your request is denied, you have the right to appeal the decision. You can contact your Kansas Medicaid office for more information on the appeals process.

Q: Is there a fee for submitting the Kancare Prior Authorization Termination of Pbs Services Form?
A: There is no fee associated with submitting the form.