Form 1335 Antiviral Agents for Hepatitis C Virus Initial Authorization Request (Medicaid) - Texas

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Form 1335 Antiviral Agents for Hepatitis C Virus Initial Authorization Request (Medicaid) - Texas

What Is Form 1335?

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 1335?
A: Form 1335 is a document for the initial authorization request forantiviral agents for Hepatitis C Virus under Medicaid in Texas.

Q: Who can use Form 1335?
A: Form 1335 can be used by Medicaid recipients in Texas who require antiviral agents for Hepatitis C Virus.

Q: What is the purpose of Form 1335?
A: The purpose of Form 1335 is to request authorization for the use of antiviral agents for treating Hepatitis C Virus.

Q: What information is required on Form 1335?
A: Form 1335 requires information such as patient demographics, medical history, laboratory results, and prescribing physician details.

Q: Is there a cost for using Form 1335?
A: Form 1335 itself does not have a cost, but there may be costs associated with the medication depending on the Medicaid coverage.

Q: How long does it take to process Form 1335?
A: The processing time for Form 1335 varies, but it typically takes a few days to a few weeks for a decision to be made.

Q: What should I do if I have questions about Form 1335?
A: If you have questions about Form 1335, you can contact the TMHP customer service for assistance.

Q: Can Form 1335 be used for other medications?
A: No, Form 1335 is specifically for the authorization of antiviral agents for Hepatitis C Virus and cannot be used for other medications.

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Form Details:

  • Released on March 1, 2018;
  • The latest edition provided by the Texas Health and Human Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form 1335 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.

Download Form 1335 Antiviral Agents for Hepatitis C Virus Initial Authorization Request (Medicaid) - Texas

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