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Form PA-16 Request for Prior Authorization of Pediatric Day Health Care (Pdhc) Services - Louisiana
What Is Form PA-16?
This is a legal form that was released by the Louisiana Department of Health - a government authority operating within Louisiana. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is PA-16?
A: PA-16 is a form used to request prior authorization for Pediatric Day Health Care (PDHC) services in Louisiana.
Q: What are Pediatric Day Health Care (PDHC) services?
A: PDHC services are medical and support services provided to medically fragile children in a structured, supervised daytime setting.
Q: Why do I need prior authorization for PDHC services?
A: Prior authorization is required to ensure that the services are medically necessary and appropriate for the individual child.
Q: Who can submit a PA-16 form?
A: The PA-16 form can be submitted by the child's parent or legal guardian, the child's physician, or the PDHC provider.
Form Details:
- Released on October 1, 2015;
- The latest edition provided by the Louisiana Department of Health;
- 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 PA-16 by clicking the link below or browse more documents and templates provided by the Louisiana Department of Health.
Download Form PA-16 Request for Prior Authorization of Pediatric Day Health Care (Pdhc) Services - Louisiana
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