Form 1347 Emflaza Authorization Request (Medicaid) - Texas

What Is Form 1347?

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 1347 Emflaza Authorization Request?
A: Form 1347 Emflaza Authorization Request is a document used to request Medicaid coverage for the medication Emflaza in Texas.

Q: What is Emflaza?
A: Emflaza is a medication used to treat certain types of muscular dystrophy in children and adults.

Q: Who can use Form 1347 Emflaza Authorization Request?
A: Form 1347 Emflaza Authorization Request is specifically for individuals who have Medicaid coverage in Texas and need to request coverage for Emflaza.

Q: What information is required on Form 1347 Emflaza Authorization Request?
A: Form 1347 Emflaza Authorization Request typically requires information such as the patient's name, Medicaid identification number, diagnosis, and healthcare provider's information.

Q: Is there a fee for submitting Form 1347 Emflaza Authorization Request?
A: No, there is no fee for submitting Form 1347 Emflaza Authorization Request.

Q: How long does it take to process Form 1347 Emflaza Authorization Request?
A: The processing time for Form 1347 Emflaza Authorization Request may vary, but it is typically within a few weeks.

Q: What should I do if my Form 1347 Emflaza Authorization Request is denied?
A: If your Form 1347 Emflaza Authorization Request is denied, you can appeal the decision or contact your healthcare provider or the Medicaid office for further assistance.

Q: Are there any alternatives to Emflaza?
A: There may be alternative medications or treatments available for the specific condition. Consult with your healthcare provider for more information.