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 1348?
A: Form 1348 is a document used for standard PA (Prior Authorization) addendum for Medicaid.
Q: What are Phosphate Binders?
A: Phosphate Binders are medications used to treat high levels of phosphate in the blood, typically found in patients with kidney disease.
Q: What is the purpose of the Standard PA Addendum?
A: The Standard PA Addendum is used to determine the medical necessity and approval for Medicaid coverage of Phosphate Binders in Texas.
Q: Who can use the Form 1348 Phosphate Binders Standard PA Addendum?
A: The Form 1348 Phosphate Binders Standard PA Addendum is specifically for Texas Medicaid recipients.
Q: How do I fill out the Form 1348 Phosphate Binders Standard PA Addendum?
A: You need to provide the required information requested on the form, including patient and prescriber details, as well as clinical justification for the medication.
Form Details:
Download a fillable version of Form 1348 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.