Form PA-112 Long Term Acute Care (Ltac) and Out-of-State Rehab Prior Authorization Request Form - South Dakota

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Form PA-112 Long Term Acute Care (Ltac) and Out-of-State Rehab Prior Authorization Request Form - South Dakota

What Is Form PA-112?

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

FAQ

Q: What is Form PA-112?A: Form PA-112 is the Long TermAcute Care (Ltac) and Out-of-State Rehab Prior Authorization Request Form.

Q: Who uses Form PA-112?A: Form PA-112 is used in South Dakota for requesting prior authorization for Long Term Acute Care (Ltac) and Out-of-State Rehab.

Q: What is Long Term Acute Care (Ltac)?A: Long Term Acute Care (Ltac) refers to specialized medical treatment for patients who require longer hospitalizations and complex care management.

Q: What is Out-of-State Rehab?A: Out-of-State Rehab refers to rehabilitation services provided outside the state of South Dakota.

Q: Why is prior authorization required?A: Prior authorization is required to ensure that the requested medical services meet the necessary criteria for coverage and reimbursement.

Q: How can I obtain Form PA-112?A: Form PA-112 can usually be obtained from the South Dakota Department of Social Services or your healthcare provider.

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Form Details:

  • Released on December 1, 2022;
  • The latest edition provided by the South Dakota Department of Social Services;
  • 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 fillable version of Form PA-112 by clicking the link below or browse more documents and templates provided by the South Dakota Department of Social Services.

Download Form PA-112 Long Term Acute Care (Ltac) and Out-of-State Rehab Prior Authorization Request Form - South Dakota

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