This version of the form is not currently in use and is provided for reference only. Download this version of Form 1335 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 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.
Form Details:
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.