This version of the form is not currently in use and is provided for reference only. Download this version of Form 1342 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 1342?
A: Form 1342 is a document used for requesting antiviral agents for Hepatitis C Virus.
Q: What is the purpose of Form 1342?
A: The purpose of Form 1342 is to request antiviral agents for the treatment of Hepatitis C Virus.
Q: What is an antiviral agent?
A: An antiviral agent is a medication used to treat viral infections, such as Hepatitis C Virus.
Q: What is Hepatitis C Virus?
A: Hepatitis C Virus is a viral infection that affects the liver and can cause liver damage.
Q: Who can use Form 1342?
A: Form 1342 is specifically for Medicaid patients in Texas who need antiviral agents for Hepatitis C Virus.
Q: What is the Standard PA Addendum?
A: The Standard PA Addendum refers to the additional documentation required for the approval of antiviral agents for Hepatitis C Virus treatment under Medicaid in Texas.
Form Details:
Download a fillable version of Form 1342 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.