Form HCA19-0006 Medical Necessity for Wheelchair Purchase for Nursing Facility (Nf) Clients - Washington

What Is Form HCA19-0006?

This is a legal form that was released by the Washington State Health Care Authority - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is HCA19-0006?
A: HCA19-0006 is a form for medical necessity for wheelchair purchase for Nursing Facility (NF) clients in Washington.

Q: Who is this form for?
A: This form is for Nursing Facility (NF) clients in Washington.

Q: What is the purpose of this form?
A: The purpose of this form is to determine the medical necessity for a wheelchair purchase for Nursing Facility (NF) clients.

Q: What information is required on this form?
A: The form requires information about the client, including their name, Medicaid ID, diagnosis, and the reason for the wheelchair purchase.

Q: How can I submit this form?
A: You can submit this form through fax or mail. The instructions for submission are provided on the form itself.

Q: Are there any fees associated with this form?
A: No, there are no fees associated with submitting this form.

Q: Who should I contact if I have questions about this form?
A: If you have questions about this form, you can contact the Washington State Health Care Authority (HCA) for assistance.