Form F-02493 Prior Authorization / Speech-Generating Device Purchase Recommendation Attachment - Wisconsin

Form F-02493 Prior Authorization / Speech-Generating Device Purchase Recommendation Attachment - Wisconsin

What Is Form F-02493?

This is a legal form that was released by the Wisconsin Department of Health Services - a government authority operating within Wisconsin. Check the official instructions before completing and submitting the form.

FAQ

Q: What is Form F-02493?
A: Form F-02493 is a Prior Authorization/Speech-Generating Device Purchase Recommendation Attachment used in Wisconsin.

Q: What is the purpose of Form F-02493?
A: The purpose of Form F-02493 is to provide a recommendation for the purchase of a speech-generating device and to request prior authorization for the device.

Q: Who uses Form F-02493?
A: Form F-02493 is used by healthcare professionals in Wisconsin who are recommending the purchase of a speech-generating device.

Q: What is a speech-generating device?
A: A speech-generating device is a device that helps individuals with communication disabilities to express themselves through speech.

Q: Why is prior authorization required for speech-generating device purchases?
A: Prior authorization is required to ensure that the purchase of a speech-generating device is medically necessary and meets the coverage criteria set by the insurance provider.

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Form Details:

  • Released on July 1, 2019;
  • 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-02493 by clicking the link below or browse more documents and templates provided by the Wisconsin Department of Health Services.

Download Form F-02493 Prior Authorization / Speech-Generating Device Purchase Recommendation Attachment - Wisconsin

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