PDF
Word
This version of the form is not currently in use and is provided for reference only. Download this version of
Form 1335
for the current year.
Form 1335 Antiviral Agents for Hepatitis C Virus Initial Authorization Request (Medicaid) - Texas
What Is Form 1335?
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 1335?A: Form 1335 is the Antiviral Agents for Hepatitis C Virus Initial Authorization Request form for Medicaid in Texas.
Q: What is hepatitis C?A: Hepatitis C is a viral infection that primarily affects the liver.
Q: What are antiviral agents for hepatitis C?A: Antiviral agents for hepatitis C are medications that can help treat the infection.
Q: Who can request authorization using Form 1335?A: Healthcare providers can request authorization for antiviral agents for hepatitis C using Form 1335.
Q: Is Form 1335 specific to Texas Medicaid?A: Yes, Form 1335 is specific to Medicaid in Texas.
Form Details:
- Released on January 1, 2021;
- 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 1335 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.
Download Form 1335 Antiviral Agents for Hepatitis C Virus Initial Authorization Request (Medicaid) - Texas
1
2
3
4
5
6
