Form HCA13-848 Hospice (Including Ppc) Authorization Request - Washington

Form HCA13-848 Hospice (Including Ppc) Authorization Request - Washington

What Is Form HCA13-848?

This is a legal form that was released by the Washington State Health Care Authority - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form HCA13-848?A: Form HCA13-848 is an Authorization Request form for Hospice (Including Ppc) services in Washington.

Q: What is Hospice (Including Ppc) services?A: Hospice (Including Ppc) services provide medical care, emotional support, and spiritual resources for people who are in the final stages of a terminal illness.

Q: Who can use Form HCA13-848?A: Form HCA13-848 can be used by individuals who need Hospice (Including Ppc) services in Washington.

Q: How can I obtain Form HCA13-848?A: You can obtain Form HCA13-848 by contacting the appropriate agency or organization that provides Hospice (Including Ppc) services in Washington.

Q: What information is required on Form HCA13-848?A: Form HCA13-848 requires information such as the patient's name, address, date of birth, diagnosis, and the physician's name and contact information.

Q: Is there a deadline for submitting Form HCA13-848?A: There may be specific deadlines for submitting Form HCA13-848, so it's important to check with the agency or organization that provides Hospice (Including Ppc) services in Washington.

Q: What happens after I submit Form HCA13-848?A: After you submit Form HCA13-848, the agency or organization will review your request and determine if you are eligible for Hospice (Including Ppc) services in Washington.

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Form Details:

  • Released on January 1, 2015;
  • The latest edition provided by the Washington State Health Care Authority;
  • 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 HCA13-848 by clicking the link below or browse more documents and templates provided by the Washington State Health Care Authority.

Download Form HCA13-848 Hospice (Including Ppc) Authorization Request - Washington

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