Form PA-106 Genetic Testing Prior Authorization Request Form - South Dakota

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Form PA-106 Genetic Testing Prior Authorization Request Form - South Dakota

What Is Form PA-106?

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.

FAQ

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.

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Form Details:

  • Released on December 1, 2022;
  • The latest edition provided by the South Dakota Department of Social 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 PA-106 by clicking the link below or browse more documents and templates provided by the South Dakota Department of Social Services.

Download Form PA-106 Genetic Testing Prior Authorization Request Form - South Dakota

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