Instructions for Form F-11032 Prior Authorization / Substance Abuse Attachment (Pa / Saa) - Wisconsin

Form F-11032 Prior Authorization/Substance Abuse Attachment (Pa/Saa) - Wisconsin

This document contains official instructions for Form F-11032 , Prior Authorization/Substance Abuse Attachment (Pa/Saa) - a form released and collected by the Wisconsin Department of Health Services. An up-to-date fillable Form F-11032 is available for download through this link.

FAQ

Q: What is Form F-11032?
A: Form F-11032 is the Prior Authorization/Substance Abuse Attachment (Pa/Saa) form.

Q: What is the purpose of Form F-11032?
A: The purpose of Form F-11032 is to request prior authorization for substance abusetreatment services in Wisconsin.

Q: Who needs to use Form F-11032?
A: Healthcare providers and facilities seeking prior authorization for substance abuse treatment services in Wisconsin need to use Form F-11032.

Q: How do I fill out Form F-11032?
A: Form F-11032 requires the healthcare provider or facility to provide patient and treatment information, as well as details about the requested services.

Q: What supporting documents are required with Form F-11032?
A: Supporting documents such as clinical assessments, treatment plans, and medical records may be required to accompany Form F-11032.

Q: What happens after submitting Form F-11032?
A: After submitting Form F-11032, the request for prior authorization will be reviewed, and a decision will be communicated to the healthcare provider or facility.

Q: Is there a fee for submitting Form F-11032?
A: There is no fee for submitting Form F-11032.

Q: Are there any time limits for using Form F-11032?
A: There may be specific time limits for using Form F-11032 based on the nature of the requested substance abuse treatment services in Wisconsin.