This version of the form is not currently in use and is provided for reference only. Download this version of Form 1338 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 1338?
A: Form 1338 is the Medicaid Standard PA Addendum for Cystic Fibrosis Agents (Kalydeco/Orkambi/Symdeko) in Texas.
Q: What does Form 1338 cover?
A: Form 1338 covers Cystic Fibrosis Agents such as Kalydeco, Orkambi, and Symdeko.
Q: What is Medicaid Standard PA Addendum?
A: Medicaid Standard PA Addendum is a form used to request prior authorization for specific medications under the Medicaid program.
Q: What are Kalydeco, Orkambi, and Symdeko?
A: Kalydeco, Orkambi, and Symdeko are medications used to treat Cystic Fibrosis, a genetic disorder affecting the lungs and digestive system.
Q: Who is eligible for Medicaid in Texas?
A: Eligibility for Medicaid in Texas is based on income and other factors. It is typically available to low-income individuals and families.
Q: How can I get prior authorization for Cystic Fibrosis Agents?
A: You can request prior authorization for Cystic Fibrosis Agents by submitting Form 1338, the Medicaid Standard PA Addendum.
Form Details:
Download a fillable version of Form 1338 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.