Form FA-177 Medications for Recipients on Hospice Prior Authorization Request Form - Nevada

What Is Form FA-177?

This is a legal form that was released by the Nevada Department of Health and Human Services - a government authority operating within Nevada. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the FA-177 Medications for Recipients on Hospice Prior Authorization Request Form?
A: The FA-177 is a form used in Nevada to request prior authorization for medications for recipients on hospice.

Q: Who can use the FA-177 form?
A: Healthcare providers in Nevada who are caring for recipients on hospice can use the FA-177 form.

Q: What is the purpose of the FA-177 form?
A: The purpose of the FA-177 form is to request prior authorization for medications for recipients on hospice.

Q: What information is required on the FA-177 form?
A: The FA-177 form requires information such as recipient details, prescriber information, medication details, and clinical justification for the requested medications.

Q: How long does the prior authorization process typically take?
A: The prior authorization process typically takes up to 72 hours, excluding weekends and holidays.

Q: What happens after the prior authorization is approved?
A: After prior authorization is approved, the recipient's medications will be covered by Nevada Medicaid.

Q: What happens if the prior authorization request is denied?
A: If the prior authorization request is denied, alternative options or appeals may be available to address the medication needs of the recipient.