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  • Prior Authorization Request Form (pa/rf) - Forwardhealth Wi

Get Prior Authorization Request Form (pa/rf) - Forwardhealth Wi

FORWARDHEALTH. PRIOR AUTHORIZATION REQUEST FORM (PA/RF). Providers may submit prior authorization (PA) requests by fax to ForwardHealth at .

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F-11018 Related content

Prior Authorization Request Form - ForwardHealth...
In addition to the PA/RF (Prior Authorization Request Form, F-11018 (05/13)) ... Providers...
Learn more
Prior authorization guidance for the WIC...
Wisconsin BadgerCare Plus or Medicaid SSI HMO coverage. ... F-11018 Prior Authorization...
Learn more

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ForwardHealth brings together many Department of Health Services health care and nutritional assistance benefit programs with the goal of improving health outcomes for members and creating efficiencies for providers. To learn more about a program, click on the program name listed below.

ForwardHealth's fax number at 608-221-8616 (PA requests sent to any other fax number may result in processing delays.)

To contact STAT-PA by telephone, providers may call 800-947-1197.

To join or change your HMO online, go to access.wi.gov, log in, and go to Manage My HMO. To join or change your HMO by phone, call an HMO enrollment specialist at 800-291-2002.

The PA attachment allows a provider to document the clinical information used to determine whether or not the standards of medical necessity are met for the requested service(s).

Department of Health Services1-608-266-1865 1-888-701-1251 (TTY)ForwardHealth Portal Help Desk1-866-908-1363Resources for ProvidersForwardHealth Provider Services1-800-947-9627WiCall Automated Voice Response (AVR) System1-800-947-354414 more rows

When a member travels out of state but is within the United States (including its territories), Canada, or Mexico, BadgerCare Plus and Wisconsin Medicaid cover medical services in any of the following circumstances: An emergency illness or accident.

The ForwardHealth Specialized Transmission Approval Technology-Prior Authorization (STAT-PA) system is an automated voice response system that allows Medicaid-certified providers to receive prior authorization (PA) via telephone rather than by mail or online.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232