Form HEA0138 Prior Authorization - Children With Medical Handicaps Program (Cmh) - Ohio

Form HEA0138 Prior Authorization - Children With Medical Handicaps Program (Cmh) - Ohio

What Is Form HEA0138?

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

FAQ

Q: What is the HEA0138 Prior Authorization?
A: HEA0138 Prior Authorization is a form used for the Children With Medical Handicaps Program (CMH) in Ohio.

Q: What is the Children With Medical Handicaps Program (CMH)?
A: The Children With Medical Handicaps Program (CMH) is a program in Ohio that provides medical assistance and services to children with special healthcare needs.

Q: What is the purpose of the HEA0138 Prior Authorization?
A: The purpose of the HEA0138 Prior Authorization is to request prior approval for specific medical services or treatments for children enrolled in the CMH program.

Q: Who can use the HEA0138 Prior Authorization?
A: The HEA0138 Prior Authorization form is used by healthcare providers to request prior approval for medical services or treatments for children enrolled in the CMH program.

Q: What type of medical services or treatments require prior authorization?
A: Specific medical services or treatments that require prior authorization vary and are determined by the CMH program's guidelines and policies.

Q: What should be included in the HEA0138 Prior Authorization form?
A: The HEA0138 Prior Authorization form should include the child's information, details of the requested medical service or treatment, and any supporting documentation or medical records.

Q: What happens after the HEA0138 Prior Authorization form is submitted?
A: After the HEA0138 Prior Authorization form is submitted, it will be reviewed by the CMH program's staff to determine if the requested medical service or treatment meets the program's criteria for coverage.

Q: Is there a deadline to submit the HEA0138 Prior Authorization form?
A: Yes, there may be a deadline to submit the HEA0138 Prior Authorization form. It is important to check with the CMH program for any specific deadlines or timeline requirements.

Q: What if the HEA0138 Prior Authorization is denied?
A: If the HEA0138 Prior Authorization is denied, the healthcare provider may have the option to appeal the decision or explore other treatment options for the child.

ADVERTISEMENT

Form Details:

  • Released on December 1, 2013;
  • The latest edition provided by the Ohio Department of Health;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of Form HEA0138 by clicking the link below or browse more documents and templates provided by the Ohio Department of Health.

Download Form HEA0138 Prior Authorization - Children With Medical Handicaps Program (Cmh) - Ohio

4.5 of 5 (18 votes)
  • Form HEA0138 Prior Authorization - Children With Medical Handicaps Program (Cmh) - Ohio, Page 1
ADVERTISEMENT

Related Documents