Instructions for Form FA-16B Home Health Agency - Private Duty Nursing (Pdn) Services Only Prior Authorization Request - Nevada

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 for?A: Form FA-16B is used to request prior authorization for Home Health Agency - Private Duty Nursing (PDN) Services Only in Nevada.

Q: What is Home Health Agency - Private Duty Nursing (PDN) Services?A: Home Health Agency - Private Duty Nursing (PDN) Services refer to skilled nursingservices provided by a registered nurse or a licensed practical nurse on a continuous hourly basis.

Q: Who needs to use Form FA-16B?A: Providers who offer Home Health Agency - Private Duty Nursing (PDN) Services in Nevada need to use Form FA-16B to request prior authorization.

Q: What information is required on Form FA-16B?A: Form FA-16B requires information such as the patient's name, Medicaid ID, medical diagnosis, prescribed PDN services, and other relevant details.

Q: How should I submit Form FA-16B?A: Form FA-16B can be submitted electronically through the Nevada Medicaid Management Information System (NV MMIS) or via mail.