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

The Texas Medicaid Phosphate Binders Prior Authorization Request Form (Form 1348) is a mandatory document for non-preferred agents seeking prior authorization for phosphate binders. Issued by the Texas Health and Human Services (HHS), this form is designed to streamline the process of obtaining approval for prescription medications. By submitting this form, healthcare providers can ensure timely access to essential treatments for their patients enrolled in Medicaid fee-for-service.

This form is specifically intended for individuals enrolled in Medicaid fee-for-service, whereas those enrolled in managed care should contact their respective health plans for applicable forms and instructions. The form consists of four sections: Patient Information, Prescriber Information, Medication Information, and Review. Healthcare providers must complete the form accurately and thoroughly to avoid delays or denial of prior authorization requests.

The Texas Prior Authorization Call Center at 866-469-8590 is responsible for processing Form 1348 submissions. It is essential to fax both this form and the Texas Standard Prior Authorization Request Form for Prescription Drug Benefits (TDI Form NOFROO2) to ensure timely review and approval of prior authorization requests. Incomplete forms or failure to submit this addendum may result in delays, denial, or both, ultimately impacting patient care.