This version of the form is not currently in use and is provided for reference only. Download this version of Form PA-106 for the current year.
This is a legal form that was released by the South Dakota Department of Social Services - a government authority operating within South Dakota. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is the PA-106 Genetic Testing Prior Authorization Request Form?
A: The PA-106 Genetic Testing Prior Authorization Request Form is a form used in South Dakota to request prior authorization for genetic testing.
Q: Why is prior authorization required for genetic testing?
A: Prior authorization is required for genetic testing to ensure that the testing is medically necessary and appropriate for the patient.
Q: Who needs to fill out the PA-106 form?
A: The PA-106 form needs to be filled out by the healthcare provider who is requesting the genetic testing.
Q: Are there any fees associated with submitting the PA-106 form?
A: There are no fees associated with submitting the PA-106 form.
Q: How long does it take to get a decision on the prior authorization request?
A: The decision on the prior authorization request is typically made within a few business days.
Q: Can the PA-106 form be submitted electronically?
A: Yes, the PA-106 form can be submitted electronically.
Q: What supporting documentation is required to be submitted with the PA-106 form?
A: The PA-106 form requires supporting documentation such as medical records and clinical notes.
Q: Is the PA-106 form specific to South Dakota?
A: Yes, the PA-106 form is specific to South Dakota.
Q: Who should I contact if I have questions about the PA-106 form or the prior authorization process?
A: You should contact the South Dakota Department of Social Services or your healthcare provider if you have questions about the PA-106 form or the prior authorization process.
Form Details:
Download a fillable version of Form PA-106 by clicking the link below or browse more documents and templates provided by the South Dakota Department of Social Services.