Instructions for Form F-02493 Prior Authorization / Speech-Generating Device Purchase Recommendation Attachment - Wisconsin

Form F-02493 Prior Authorization/Speech-Generating Device Purchase Recommendation Attachment - Wisconsin

This document contains official instructions for Form F-02493 , Prior Authorization/Speech-Generating Device Purchase Recommendation Attachment - a form released and collected by the Wisconsin Department of Health Services. An up-to-date fillable Form F-02493 is available for download through this link.

FAQ

Q: What is Form F-02493?
A: Form F-02493 is an attachment that accompanies the Prior Authorization/Speech-Generating Device Purchase Recommendation form in Wisconsin.

Q: What is the purpose of Form F-02493?
A: The purpose of Form F-02493 is to provide additional information and documentation to support a prior authorization request for a speech-generating device purchase.

Q: What information is required on Form F-02493?
A: Form F-02493 requires information about the individual requesting the prior authorization, the healthcare provider's recommendation, and documentation supporting the need for a speech-generating device.

Q: Who needs to complete Form F-02493?
A: The individual requesting the prior authorization, along with their healthcare provider, needs to complete Form F-02493.

Q: Are there any fees associated with Form F-02493?
A: There are no fees associated with completing and submitting Form F-02493.

Q: What should I do after completing Form F-02493?
A: After completing Form F-02493, you should submit it along with the Prior Authorization/Speech-Generating Device Purchase Recommendation form to your healthcare provider or insurance company for review and approval.