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.
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.
Download a printable version of Form 391 by clicking the link below or browse more documents and templates provided by the Alabama Medicaid Agency.