Nursing Facility Post Eligibility Treatment of Income (Peti) Medical Necessity Certification Form - Colorado

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Nursing Facility Post Eligibility Treatment of Income (Peti) Medical Necessity Certification Form - Colorado

Nursing Facility Post Eligibility Treatment of Income (Peti) Medical Necessity Certification Form is a legal document that was released by the Colorado Department of Health Care Policy and Financing - a government authority operating within Colorado.

FAQ

Q: What is the Nursing Facility Post Eligibility Treatment of Income (PETI) Medical Necessity Certification Form?
A: The PETI Medical Necessity Certification Form is a document used in Colorado for determining the medical necessity of post-eligibility treatment of income for nursing facility residents.

Q: Who needs to complete the PETI Medical Necessity Certification Form?
A: The form needs to be completed by the nursing facility resident's physician or other qualified healthcare professional.

Q: What is the purpose of the PETI Medical Necessity Certification Form?
A: The form is used to assess if the post-eligibility treatment of income for nursing facility residents is medically necessary.

Q: What information is required on the PETI Medical Necessity Certification Form?
A: The form requires information such as the resident's name, Medicaid ID, diagnosis, treatment plan, and the healthcare professional's certification of medical necessity.

Q: Are there any fees associated with submitting the PETI Medical Necessity Certification Form?
A: No, there are no fees associated with submitting the form.

Q: How often does the PETI Medical Necessity Certification Form need to be completed?
A: The form needs to be completed annually or whenever there is a significant change in the resident's medical condition or treatment plan.

Q: Can family members or caregivers complete the PETI Medical Necessity Certification Form?
A: No, the form must be completed by a qualified healthcare professional, such as a physician.

Q: What happens after the PETI Medical Necessity Certification Form is submitted?
A: After the form is submitted, it will be reviewed by the Colorado Department of Health Care Policy and Financing to determine the medical necessity of the post-eligibility treatment of income.

Q: Is the PETI Medical Necessity Certification Form specific to Colorado?
A: Yes, the form is specific to Colorado and may have variations in other states.

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Form Details:

  • Released on February 1, 2022;
  • The latest edition currently provided by the Colorado Department of Health Care Policy and Financing;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Colorado Department of Health Care Policy and Financing.

Download Nursing Facility Post Eligibility Treatment of Income (Peti) Medical Necessity Certification Form - Colorado

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