TX HHS Form 1327. Biosynthetic Growth Hormone Agents Prior Authorization Request (CSHCN)

The Texas Health and Human Services (HHS) Form 1327 is a prior authorization request form for biosynthetic growth hormone agents used to treat Children with Special Health Care Needs (CSHCN). This form is designed for healthcare providers to submit patient information and medical data to the CSHCN Services Program, ensuring timely access to necessary treatment.

The form requires providers to gather and submit specific patient information, including demographics, prescriber details, and medical history. Providers must also provide detailed medical information related to growth hormone therapy, such as previous treatment, growth velocity, and bone age results. Additionally, the form includes sections for thyroid function, IGF/BP3 test results, and peak growth hormone levels.

This form is essential for healthcare providers in Texas seeking prior authorization for biosynthetic growth hormone agents used to treat CSHCN patients. By completing this form, providers can ensure that their patients receive the necessary treatment in a timely manner. The issuing agency, Texas HHS, has developed this form to streamline the prior authorization process and improve patient care.