Instructions for Form F-00239 Prior Authorization Drug Attachment for Blood Glucose Meters and Test Strips - Wisconsin

Form F-00239 Prior Authorization Drug Attachment for Blood Glucose Meters and Test Strips - Wisconsin

This document contains official instructions for Form F-00239 , Prior Authorization Drug Attachment for Blood Glucose Meters and Test Strips - a form released and collected by the Wisconsin Department of Health Services. An up-to-date fillable Form F-00239 is available for download through this link.

FAQ

Q: What is Form F-00239?
A: Form F-00239 is a prior authorization drug attachment specifically for blood glucose meters and test strips in Wisconsin.

Q: What is a prior authorization drug attachment?
A: A prior authorization drug attachment is a form that needs to be filled out and submitted in order to request approval for specific medications or medical supplies.

Q: What are blood glucose meters and test strips?
A: Blood glucose meters are devices used to measure blood sugar levels, and test strips are used in conjunction with the meters to collect and analyze blood samples for glucose levels.

Q: Why do I need to fill out Form F-00239?
A: You need to fill out Form F-00239 in order to request prior authorization for blood glucose meters and test strips, ensuring coverage and reimbursement for these supplies.

Q: What information do I need to provide on Form F-00239?
A: You will need to provide your personal information, such as name and contact details, as well as information about your healthcare provider and the specific blood glucose meters and test strips you are requesting authorization for.

Q: Are there any deadlines for submitting Form F-00239?
A: Specific deadlines for submitting Form F-00239 may vary depending on your insurance provider or healthcare plan. It's important to check with them to determine the deadline for submission.

Q: What happens after I submit Form F-00239?
A: After you submit Form F-00239, it will be reviewed by your insurance provider or healthcare plan. You will receive a response regarding the approval or denial of your request for prior authorization.

Q: Can I appeal if my request for prior authorization is denied?
A: Yes, if your request for prior authorization is denied, you have the right to appeal the decision. Your insurance provider or healthcare plan will provide information on the appeals process.

Q: Is prior authorization required for all blood glucose meters and test strips?
A: The need for prior authorization may vary depending on your insurance provider or healthcare plan. It's important to check with them to determine if prior authorization is required for the specific blood glucose meters and test strips you are seeking coverage for.