Form F-11008 Prior Authorization / Therapy Attachment (Pa / Ta) - Wisconsin

Form F-11008 Prior Authorization / Therapy Attachment (Pa / Ta) - Wisconsin

What Is Form F-11008?

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

FAQ

Q: What is Form F-11008?
A: Form F-11008 is the Prior Authorization/Therapy Attachment (Pa/Ta) form.

Q: What is the purpose of Form F-11008?
A: The purpose of Form F-11008 is to request prior authorization for therapy services in Wisconsin.

Q: Who needs to use Form F-11008?
A: Healthcare providers who wish to request prior authorization for therapy services in Wisconsin need to use Form F-11008.

Q: Is Form F-11008 specific to Wisconsin?
A: Yes, Form F-11008 is specific to Wisconsin as it pertains to the prior authorization of therapy services in the state.

ADVERTISEMENT

Form Details:

  • Released on August 1, 2017;
  • The latest edition provided by the Wisconsin Department of Health Services;
  • 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 fillable version of Form F-11008 by clicking the link below or browse more documents and templates provided by the Wisconsin Department of Health Services.

Download Form F-11008 Prior Authorization / Therapy Attachment (Pa / Ta) - Wisconsin

4.5 of 5 (8 votes)
  • Form F-11008 Prior Authorization/Therapy Attachment (Pa/Ta) - Wisconsin

    1

  • Form F-11008 Prior Authorization/Therapy Attachment (Pa/Ta) - Wisconsin, Page 2

    2

  • Form F-11008 Prior Authorization/Therapy Attachment (Pa/Ta) - Wisconsin, Page 3

    3

  • Form F-11008 Prior Authorization / Therapy Attachment (Pa / Ta) - Wisconsin, Page 1
  • Form F-11008 Prior Authorization / Therapy Attachment (Pa / Ta) - Wisconsin, Page 2
  • Form F-11008 Prior Authorization / Therapy Attachment (Pa / Ta) - Wisconsin, Page 3
Prev 1 2 3 Next
ADVERTISEMENT