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Form 1345 Makena Authorization Request (Fee for Service Medicaid) - Texas
What Is Form 1345?
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 1345 Makena Authorization Request?
A: Form 1345 Makena Authorization Request is a document used in Texas for requesting authorization and coverage of the drug Makena under Fee for Service Medicaid.
Q: What is Makena?
A: Makena is a medication used to reduce the risk of preterm birth in certain pregnant women.
Q: Who can use Form 1345 Makena Authorization Request?
A: This form can be used by healthcare providers in Texas who are requesting authorization and coverage of Makena for their patients under Fee for Service Medicaid.
Q: What is Fee for Service Medicaid?
A: Fee for Service Medicaid is a program that provides health insurance coverage to low-income individuals and families in Texas.
Q: Why is authorization needed for Makena?
A: Authorization is needed to ensure that the use of Makena is medically necessary and appropriate for the patient's condition.
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 1345 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.
Download Form 1345 Makena Authorization Request (Fee for Service Medicaid) - Texas
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