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Welcome  » May 20, 2024 4:42 PM
Program Name: BadgerCare Plus and Medicaid Handbook Area: Dental
05/20/2024  

Prior Authorization : Grant and Expiration Dates

Topic #439

Backdating

Backdating an initial PA request or SOI to a date prior to ForwardHealth's initial receipt of the request may be allowed in limited circumstances.

A request for backdating may be approved if all of the following conditions are met:

  • The provider specifically requests backdating in writing on the PA or SOI request.
  • The request includes clinical justification for beginning the service before PA or SOI was granted.
  • The request is received by ForwardHealth within 14 calendar days of the start of the provision of services.
 
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