Form 391 Pcp Override Request Form - Alabama

Form 391 Pcp Override Request Form - Alabama

What Is Form 391?

This is a legal form that was released by the Alabama Medicaid Agency - a government authority operating within Alabama. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is a Form 391 PCP Override Request Form?
A: The Form 391 PCP Override Request Form is a document used in Alabama to request an override for a preferred drug to be covered under the state's Medicaid program.

Q: Why would someone need to fill out a Form 391 PCP Override Request Form?
A: Someone may need to fill out this form if a prescribed drug is not on the preferred drug list and they need to request coverage for it under the Medicaid program.

Q: What information is required on the Form 391 PCP Override Request Form?
A: The form typically requires information about the patient, the prescribing physician, the non-preferred drug being requested, and the medical justification for the request.

Q: How long does it take to process a Form 391 PCP Override Request?
A: The processing time for a Form 391 PCP Override Request can vary, but it is typically reviewed within 5 business days.

Q: What happens after a Form 391 PCP Override Request is approved?
A: If the request is approved, the non-preferred drug will be covered under the Medicaid program for the specified patient.

Q: Can a Form 391 PCP Override Request be denied?
A: Yes, a request can be denied if it does not meet the criteria for approval or if the preferred alternatives are considered appropriate for the patient's medical condition.

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Form Details:

  • Released on December 1, 2020;
  • The latest edition provided by the Alabama Medicaid Agency;
  • 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 printable version of Form 391 by clicking the link below or browse more documents and templates provided by the Alabama Medicaid Agency.

Download Form 391 Pcp Override Request Form - Alabama

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  • Form 391 Pcp Override Request Form - Alabama, Page 1
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