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Form HCA13-112 Thickeners for Children From 1 - 20 Years Old Expedited Prior Authorization (EPA) Form - Washington
What Is Form HCA13-112?
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 Form HCA13-112?
A: Form HCA13-112 is an Expedited Prior Authorization (EPA) Form for thickeners for children from 1-20 years old in Washington.
Q: Who is this form for?
A: This form is for children aged 1-20 years old who require thickeners in Washington.
Q: What is the purpose of this form?
A: The purpose of this form is to request expedited prior authorization for thickeners for children.
Q: What is the age range for children covered by this form?
A: This form covers children aged 1-20 years old.
Q: Is this form specific to a particular state?
A: Yes, this form is specific to Washington.
Form Details:
- Released on May 1, 2017;
- The latest edition provided by the Washington State Health Care Authority;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of Form HCA13-112 by clicking the link below or browse more documents and templates provided by the Washington State Health Care Authority.
