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This version of the form is not currently in use and is provided for reference only. Download this version of
Instructions for Form FA-16B
for the current year.
Instructions for Form FA-16B Home Health Agency - Private Duty Nursing (Pdn) Services Only Prior Authorization Request - Nevada
This document contains official instructions for Form FA-16B , Home Health Agency - Private Duty Nursing (Pdn) Services Only Prior Authorization Request - a form released and collected by the Nevada Department of Health and Human Services. An up-to-date fillable Form FA-16B is available for download through this link.
FAQ
Q: What is Form FA-16B?A: Form FA-16B is a Prior Authorization Request form for Home Health Agency - Private Duty Nursing (PDN) Services Only. It is used in Nevada.
Q: What is the purpose of Form FA-16B?A: The purpose of Form FA-16B is to request prior authorization for Home Health Agency - Private Duty Nursing (PDN) Services Only.
Q: Who needs to fill out Form FA-16B?A: Form FA-16B needs to be filled out by the home health agency providing Private Duty Nursing (PDN) services.
Q: Are there any fees associated with Form FA-16B?A: No, there are no fees associated with Form FA-16B.
Instruction Details:
- This 5-page document is available for download in PDF;
- Actual and applicable for the current year;
- Complete, printable, and free.
Download your copy of the instructions by clicking the link below{class="scroll_to"} or browse hundreds of other forms in our library of forms released by the Nevada Department of Health and Human Services.
Download Instructions for Form FA-16B Home Health Agency - Private Duty Nursing (Pdn) Services Only Prior Authorization Request - Nevada
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