Form 1346 Makena Standard Pa Addendum (Fee for Service Medicaid) - Texas

Form 1346 Makena Standard Pa Addendum (Fee for Service Medicaid) - Texas

What Is Form 1346?

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 the Form 1346 Makena Standard PA Addendum?
A: Form 1346 Makena Standard PA Addendum is a document used for Fee for Service Medicaid in Texas.

Q: What is the purpose of the Form 1346 Makena Standard PA Addendum?
A: The purpose of this form is to request prior authorization for Makena Standard treatment for Fee for Service Medicaid patients in Texas.

Q: Who uses the Form 1346 Makena Standard PA Addendum?
A: This form is used by healthcare providers who are treating Medicaid patients in Texas.

Q: What is Makena Standard treatment?
A: Makena Standard treatment is a medication used to reduce the risk of preterm birth in women who are pregnant with one baby and have already had a preterm birth in the past.

Q: What is Fee for Service Medicaid?
A: Fee for Service Medicaid is a program that allows Medicaid patients to choose their healthcare providers and pays those providers directly for each covered service.

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Form Details:

  • Released on June 1, 2019;
  • 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 1346 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.

Download Form 1346 Makena Standard Pa Addendum (Fee for Service Medicaid) - Texas

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