This version of the form is not currently in use and is provided for reference only. Download this version of Form 1342 for the current year.
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 1342?
A: Form 1342 is a document for requesting antiviral agents for Hepatitis C Virus in Texas Medicaid.
Q: What is the purpose of Form 1342?
A: Form 1342 is used to request antiviral agents for Hepatitis C Virus treatment under the Texas Medicaid program.
Q: Who can use Form 1342?
A: Healthcare providers in Texas who participate in the Medicaid program can use Form 1342.
Q: What is the Addendum (Medicaid) section on Form 1342?
A: The Addendum (Medicaid) section on Form 1342 is an additional section specifically for Medicaid requests in Texas.
Q: What are antiviral agents for Hepatitis C Virus?
A: Antiviral agents are medications used to treat Hepatitis C Virus infections.
Q: What is the Initial Request - Standard Pa Addendum?
A: The Initial Request - Standard Pa Addendum is a section on Form 1342 that provides additional information and requirements for Medicaid requests in Texas.
Form Details:
Download a fillable version of Form 1342 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.