PDF
Word
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.
Form 1342 Antiviral Agents for Hepatitis C Virus Initial Request - Standard Pa Addendum (Medicaid) - Texas
What Is Form 1342?
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 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:
- Released on March 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 1342 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.
Download Form 1342 Antiviral Agents for Hepatitis C Virus Initial Request - Standard Pa Addendum (Medicaid) - Texas
1
2
3
4
5
6
