TX HHS Form 1348. Texas Medicaid Phosphate Binders Prior Authorization Request

The Texas Medicaid Phosphate Binders Prior Authorization Request Form (Form 1348) is a crucial tool for healthcare providers to obtain prior authorization for phosphate binders treatment. This form helps solve the problem of ensuring that patients receive necessary medication while also streamlining the review process.

This form is specifically designed for non-preferred agents and requires faxing both Form 1348 and the Texas Standard Prior Authorization Request Form for Prescription Drug Benefits (TDI Form NOFROO2) to the Texas Prior Authorization Call Center at 866-469-8590. It's essential to complete this form accurately, as incomplete forms or failure to submit may cause delays in patient care, prior authorization denial, or both.

The form is divided into four sections: Patient Information, Prescriber Information, Medication Information, and Review. Key features include the requirement for plasma parathyroid hormone (PTH) levels less than 150 pg/ml on two consecutive measurements and the option to request expedited or urgent review. By using this form, healthcare providers can ensure that patients receive timely and appropriate treatment. Here are some key points to keep in mind:

• This form is only required for non-preferred agents.
• Both Form 1348 and the Texas Standard Prior Authorization Request Form must be faxed to the Texas Prior Authorization Call Center.
• Incomplete forms or failure to submit may cause delays in patient care, prior authorization denial, or both.