This document contains official instructions for Form F-02494 , Prior Authorization/Speech-Generating Device Skills and Needs Profile Attachment - a form released and collected by the Wisconsin Department of Health Services. An up-to-date fillable Form F-02494 is available for download through this link.
Q: What is Form F-02494?
A: Form F-02494 is a Prior Authorization/Speech-Generating Device Skills and Needs Profile Attachment form.
Q: What is the purpose of Form F-02494?
A: The purpose of Form F-02494 is to provide information about the skills and needs of the individual requiring a speech-generating device.
Q: What is a speech-generating device?
A: A speech-generating device is an electronic device that helps individuals with communication disabilities to express themselves.
Q: Who needs to fill out Form F-02494?
A: The individual requiring a speech-generating device, their caregiver, or a healthcare professional can fill out Form F-02494.
Q: Is Form F-02494 specific to Wisconsin?
A: Yes, Form F-02494 is specific to Wisconsin.
Q: Is Form F-02494 mandatory?
A: Yes, Form F-02494 is mandatory in order to receive prior authorization for a speech-generating device.
Q: Are there any fees associated with Form F-02494?
A: There may be fees associated with the assessment and evaluation of the individual's skills and needs, which are mentioned in the form.
Q: Who should I contact for more information or assistance?
A: You should contact the relevant Wisconsin government agency or healthcare professional for more information or assistance.
Instruction Details:
Download your copy of the instructions by clicking the link below or browse hundreds of other forms in our library of forms released by the Wisconsin Department of Health Services.