Form 1321 Synagis Standard Prior Authorization Addendum (Medicaid) - Texas

What Is Form 1321?

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 1321 Synagis?
A: Form 1321 Synagis is a standard prior authorization addendum used for Medicaid coverage of Synagis in Texas.

Q: What is Synagis?
A: Synagis is a medication used to prevent serious lung infections caused by respiratory syncytial virus (RSV) in high-risk infants.

Q: Who can use Form 1321 Synagis?
A: Healthcare providers in Texas who need to seek prior authorization for Medicaid coverage of Synagis.

Q: What is the purpose of Form 1321 Synagis?
A: The form is used to provide necessary information to Texas Medicaid to support a prior authorization request for Synagis coverage.

Q: Is Synagis covered by Medicaid in Texas?
A: Yes, Synagis may be covered by Medicaid in Texas, but prior authorization is required.

Q: How do I fill out Form 1321 Synagis?
A: Follow the instructions on the form and provide all requested information accurately and completely.

Q: What happens after submitting Form 1321 Synagis?
A: The Texas Medicaid program will review the prior authorization request and determine if coverage for Synagis is approved.

Q: How long does it take to get a response after submitting Form 1321 Synagis?
A: The processing time for a prior authorization request can vary. Contact your healthcare provider or Medicaid office for an estimate of the timeline.