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Form 470 Smoking Cessation Prior Authorization Request Form - Alabama
What Is Form 470?
This is a legal form that was released by the Alabama Medicaid Agency - a government authority operating within Alabama. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the Form 470?
A: The Form 470 is a Smoking Cessation Prior Authorization Request Form.
Q: What is the purpose of the Form 470?
A: The purpose of the Form 470 is to request prior authorization for smoking cessation treatment in Alabama.
Q: Who can use the Form 470?
A: The Form 470 can be used by healthcare providers in Alabama.
Q: What is prior authorization?
A: Prior authorization is a process by which healthcare providers get approval from insurance companies before providing certain treatments or services.
Q: Why do healthcare providers need to use the Form 470?
A: Healthcare providers need to use the Form 470 to request prior authorization for smoking cessation treatment to ensure it is covered by insurance.
Q: Is the Form 470 specific to Alabama?
A: Yes, the Form 470 is specific to Alabama.
Form Details:
- Released on August 3, 2022;
- The latest edition provided by the Alabama Medicaid Agency;
- 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 printable version of Form 470 by clicking the link below or browse more documents and templates provided by the Alabama Medicaid Agency.
