№ lp_2_1_17481
File format: docx Character count: 2699 File size: 38 KB
Administrative form for reporting newborns of Medicaid and BadgerCare Plus members, including required provider, newborn, and maternal information to determine eligibility and process medical service claims.
Year: 2019
Region / State: Wisconsin, USA
Topic: Newborn reporting for Medicaid and BadgerCare Plus
Document Type: Medical administrative form
Organization: Department of Health Services, Division of Medicaid Services
Form Number: F-01165
Audience: Healthcare providers submitting newborn information
Legal Reference: Wis. Stat. § 49.45(4); Wis. Admin. Code § DHS 104.02(4)
Submission Methods: Fax or mail
Required Information: Newborn details, mother details, provider details, gestational age, newborn weight
Price: 8 / 10 USD
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Closing Date 26 April 2019 — Provision of Security Services at GPAA Offices (Durban and Pietermaritzburg), Tender GPAA 09/2019
Year: 2019
Country: South Africa
Cities: Durban; Pietermaritzburg
Subject: Security services procurement
Document type: Bidder list for public tender
Tender number: GPAA 09/2019
Closing date: 26 April 2019
Contracting institution: Government Pensions Administration Agency (GPAA)
Sector: Public sector procurement
Service category: Security services
Content: List of companies that submitted bids
ForwardHealth Prior Authorization Drug Attachment for Hypoglycemics, Glucagon-Like Peptide (GLP-1) Agents
Year: 2024
Region / City: Wisconsin
Theme: Healthcare / Medicaid
Document Type: Form
Organization / Institution: Department of Health Services, State of Wisconsin
Author: Department of Health Services
Target Audience: Healthcare providers, Prescribers, Pharmacy providers
Period of validity: Not specified
Approval Date: Not specified
Date of changes: Not specified
ForwardHealth Prior Authorization / Drug Attachment (PA/DGA) Instructions
Year: 2024
Region / City: Wisconsin
Topic: Health services, Medicaid
Document Type: Instruction manual
Organization / Institution: Department of Health Services, State of Wisconsin
Author: Department of Health Services
Target Audience: Healthcare providers, pharmacists
Effective Period: Ongoing
Approval Date: 01/2024
Date of Amendments: None
FORWARDHEALTH PRIOR AUTHORIZATION / PREFERRED DRUG LIST (PA/PDL) EXEMPTION REQUEST
Year: 2023
Region / City: Wisconsin
Subject: Health Services, Medicaid
Document Type: Form
Organization / Institution: Department of Health Services, State of Wisconsin
Author: Department of Health Services
Target Audience: Prescribers, Pharmacy Providers
Period of Validity: N/A
Approval Date: N/A
Date of Modifications: N/A
FORWARDHEALTH PRIOR AUTHORIZATION / PREFERRED DRUG LIST (PA/PDL) FOR NON-STEROIDAL ANTI-INFLAMMATORY DRUGS (NSAIDS)
Year: 2018
Region / City: Wisconsin
Theme: Healthcare, Medicaid Services
Document Type: Form
Organization / Institution: Department of Health Services, State of Wisconsin
Author: Division of Medicaid Services
Target Audience: Healthcare Providers, Prescribers
Period of Action: 2018
Approval Date: January 2018
Date of Changes: None
Topics: F-01165 092019 ForwardHealth