The Amendment Request Form is returned with the appropriate return message indicated. After receiving a returned PA request, resubmit the original PA request with corrected information. The grant and expiration dates indicated. A specific quantity of services indicated. Prior authorization requests are approved for a specific frequency and duration of the services.
Frequency is the number of hours per day, multiplied by the number of days per week.
Duration is the number of weeks from the PA grant date through the expiration date. Providers may not use PA services more often than the frequency approved. Modified Prior Authorization Requests and Amendments Wisconsin Medicaid modifies PA requests when the requested hours exceed what Medicaid guidelines indicate are medically necessary. Some services may be approved, but at least one service is changed. The change could be for the number of hours per day, the number of days per week, or the level of care granted.