Form 1354 Pcsk9 Inhibitors Authorization Request (Medicaid Fee-For-Service) - Texas

Form 1354 Pcsk9 Inhibitors Authorization Request (Medicaid Fee-For-Service) - Texas

What Is Form 1354?

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 1354?
A: Form 1354 is the Pcsk9 Inhibitors Authorization Request form for Medicaid Fee-For-Service in Texas.

Q: What are Pcsk9 Inhibitors?
A: Pcsk9 Inhibitors are a type of medication used to lower cholesterol levels.

Q: Who can use Form 1354?
A: Form 1354 is for Medicaid Fee-For-Service recipients in Texas who need authorization for Pcsk9 Inhibitors.

Q: What is the purpose of Form 1354?
A: The purpose of Form 1354 is to request authorization for Pcsk9 Inhibitors under the Medicaid Fee-For-Service program in Texas.

Q: Do I need authorization for Pcsk9 Inhibitors?
A: Yes, you need authorization for Pcsk9 Inhibitors under the Medicaid Fee-For-Service program in Texas.

Q: What information do I need to provide on Form 1354?
A: You will need to provide your personal information, healthcare provider information, and details about your medical condition and need for Pcsk9 Inhibitors.

Q: How long does it take to get authorization for Pcsk9 Inhibitors?
A: The authorization process can vary, but it typically takes a few business days to several weeks.

Q: What is Medicaid Fee-For-Service?
A: Medicaid Fee-For-Service is a program that provides healthcare coverage to eligible individuals and pays healthcare providers directly for their services.

Q: Can I appeal if my Pcsk9 Inhibitors authorization request is denied?
A: Yes, you have the right to appeal the decision if your Pcsk9 Inhibitors authorization request is denied. Consult with your healthcare provider or Medicaid for more information on the appeals process.

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Form Details:

  • Released on April 1, 2020;
  • 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 1354 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.

Download Form 1354 Pcsk9 Inhibitors Authorization Request (Medicaid Fee-For-Service) - Texas

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