Form PA-112 Long Term Acute Care (Ltac) and Out-of-State Rehab Prior Authorization Request Form - South Dakota

What Is Form PA-112?

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 Form PA-112?
A: Form PA-112 is the Long TermAcute Care (Ltac) and Out-of-State Rehab Prior Authorization Request Form.

Q: Who uses Form PA-112?
A: Form PA-112 is used in South Dakota for requesting prior authorization for Long Term Acute Care (Ltac) and Out-of-State Rehab.

Q: What is Long Term Acute Care (Ltac)?
A: Long Term Acute Care (Ltac) refers to specialized medical treatment for patients who require longer hospitalizations and complex care management.

Q: What is Out-of-State Rehab?
A: Out-of-State Rehab refers to rehabilitation services provided outside the state of South Dakota.

Q: Why is prior authorization required?
A: Prior authorization is required to ensure that the requested medical services meet the necessary criteria for coverage and reimbursement.

Q: How can I obtain Form PA-112?
A: Form PA-112 can usually be obtained from the South Dakota Department of Social Services or your healthcare provider.