This version of the form is not currently in use and is provided for reference only. Download this version of Form 1325 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 1325 Synagis Prior Authorization Addendum?
A: Form 1325 Synagis Prior Authorization Addendum is a document used in Texas for requesting prior authorization for Synagis, a medication used to prevent respiratory syncytial virus (RSV) in high-risk children.
Q: What is Synagis?
A: Synagis is a medication used to prevent respiratory syncytial virus (RSV) in high-risk children.
Q: What is respiratory syncytial virus (RSV)?
A: Respiratory syncytial virus (RSV) is a common virus that can cause respiratory infections in people of all ages, but it is particularly dangerous for infants and young children.
Q: Who can use Form 1325 Synagis Prior Authorization Addendum?
A: Form 1325 Synagis Prior Authorization Addendum is used by healthcare providers in Texas who need to request prior authorization for Synagis on behalf of their patients.
Q: What is the purpose of Form 1325 Synagis Prior Authorization Addendum?
A: The purpose of Form 1325 Synagis Prior Authorization Addendum is to obtain prior authorization from the Texas Department of State Health Services (DSHS) for the coverage of Synagis for high-risk children.
Q: What information is required on Form 1325 Synagis Prior Authorization Addendum?
A: Form 1325 Synagis Prior Authorization Addendum requires information such as patient demographics, medical history, diagnosis, prescribing physician information, and supporting documentation.
Q: Is there a fee for submitting Form 1325 Synagis Prior Authorization Addendum?
A: No, there is no fee for submitting Form 1325 Synagis Prior Authorization Addendum.
Q: How long does it take to get a response after submitting Form 1325 Synagis Prior Authorization Addendum?
A: The processing time for Form 1325 Synagis Prior Authorization Addendum can vary, but it usually takes a few business days to receive a response from the Texas Department of State Health Services (DSHS).
Form Details:
Download a fillable version of Form 1325 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.