This version of the form is not currently in use and is provided for reference only. Download this version of Form 1321 for the current year.
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.
Q: What is Form 1321 Synagis Standard Pa Addendum (Medicaid)?
A: Form 1321 Synagis Standard Pa Addendum (Medicaid) is a document related to Medicaid coverage in Texas for the medication Synagis.
Q: What is Synagis?
A: Synagis is a medication used to prevent serious respiratory tract infections in certain high-risk infants.
Q: Who is eligible for Medicaid coverage of Synagis in Texas?
A: Eligibility for Medicaid coverage of Synagis in Texas is determined by the Texas Medicaid program based on specific criteria.
Q: Are there any fees associated with Medicaid coverage of Synagis?
A: The fees associated with Medicaid coverage of Synagis in Texas may vary depending on the individual's specific Medicaid plan.
Q: What should I do if I have more questions about Form 1321 Synagis Standard Pa Addendum (Medicaid) in Texas?
A: If you have more questions about Form 1321 Synagis Standard Pa Addendum (Medicaid) in Texas, you should contact the Texas Medicaid program directly for assistance.
Form Details:
Download a fillable version of Form 1321 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.