This was not a change in Medicaid policy regarding criteria for PDN eligibility or determination of authorized hours of care. Each request for PA still requires information describing the recipient's case to allow the Medicaid consultants to make informed decisions. Each request is still reviewed individually. Wisconsin Medicaid will provide a brochure for providers to use to help them explain the PDN benefit to recipients and their families. Prior Authorization Acknowledgement .
Providers are to photocopy the acknowledgement form for future use.
Allow the recipient or member of the recipient's family to read the Plan of Treatment and PA Request and answer any questions. Have the recipient or member of the recipient's family sign the acknowledgement. Send all forms to the Medicaid fiscal agent as part of the PA Request. The Medicaid prior authorization process. The rights and responsibilities of PDN recipients and their families.