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Wisconsin MedicaidClaims1TuberculosisRelated ServicesOnly Benefit Published Policy Through October 31, 2016Page 1 of 43Wisconsin MedicaidArchive Date:11/01/2016Claims:Responses Topic #13437ForwardHealthInitiated
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Follow any additional instructions for submitting the form, such as returning it to a healthcare professional or keeping a copy for your records.
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If you are unsure whether you need to fill out a directly observed formrapy, consult with your healthcare provider or the responsible authority overseeing your treatment for guidance.
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Directly observed formrapy is a method of observing and documenting a patient taking their medication to ensure they are following the prescribed treatment plan.
Healthcare providers or caregivers may be required to file directly observed formrapy to monitor a patient's medication adherence.
Directly observed formrapy is typically filled out by documenting the date, time, medication administered, dosage, and any observations of the patient during the medication administration.
The purpose of directly observed formrapy is to ensure patients are taking their medications as prescribed and to monitor medication adherence.
Information such as the date, time, medication administered, dosage, and any observations of the patient during the medication administration must be reported on directly observed formrapy.
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