Form 1143 Cystic Fibrosis Treatment Products Authorization Request (Cshcn) - Texas

What Is Form 1143?

This is a legal form that was released by the Texas Health and Human Services - a government authority operating within Texas. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form 1143 Cystic Fibrosis Treatment Products Authorization Request (Cshcn)?
A: Form 1143 Cystic Fibrosis Treatment Products Authorization Request (Cshcn) is a form used in Texas to request authorization for cystic fibrosis treatment products.

Q: Who can request authorization using Form 1143 Cystic Fibrosis Treatment Products Authorization Request?
A: Parents or legal guardians of children with cystic fibrosis in Texas can request authorization using Form 1143 Cystic Fibrosis Treatment Products Authorization Request.

Q: What is the purpose of Form 1143 Cystic Fibrosis Treatment Products Authorization Request?
A: The purpose of Form 1143 Cystic Fibrosis Treatment Products Authorization Request is to seek approval for coverage of cystic fibrosis treatment products through the Children with Special Health Care Needs (CSHCN) Services Program in Texas.

Q: What information is required on Form 1143 Cystic Fibrosis Treatment Products Authorization Request?
A: Form 1143 Cystic Fibrosis Treatment Products Authorization Request requires information such as the child's diagnosis, prescribed treatment products, and medical provider information.

Q: Is there a fee for submitting Form 1143 Cystic Fibrosis Treatment Products Authorization Request?
A: No, there is no fee for submitting Form 1143 Cystic Fibrosis Treatment Products Authorization Request.

Q: How long does it take to process Form 1143 Cystic Fibrosis Treatment Products Authorization Request?
A: The processing time for Form 1143 Cystic Fibrosis Treatment Products Authorization Request may vary, but it typically takes up to 10 business days.

Q: What should I do if my Form 1143 Cystic Fibrosis Treatment Products Authorization Request is denied?
A: If your Form 1143 Cystic Fibrosis Treatment Products Authorization Request is denied, you can request an appeal and provide additional supporting documentation to support your case.

Q: Can I request multiple authorizations on a single Form 1143 Cystic Fibrosis Treatment Products Authorization Request?
A: Yes, you can request multiple authorizations on a single Form 1143 Cystic Fibrosis Treatment Products Authorization Request by providing information for each treatment product.