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Does the patient have a diagnosis of cystic fibrosis with one of the CFTR gene mutations included in the FDA approved labeling e.g. G551D G1244E G1349D G178R G551S S1251N S1255P S549N S549R or R117H Circle Yes or No Y N If no no further questions. Pharmacy Prior Authorization AETNA BETTER HEALTH NEVADA Kalydeco Medicaid This fax machine is located in a secure location as required by HIPAA regulations. 2. Is the patient homozygous for the F508del mutation in the CFTR gene If yes no further...
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How to fill out kalydeco medicaid

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How to fill out kalydeco medicaid

01
First, gather all necessary information such as the patient's personal details, medical history, and financial information.
02
Contact your state's Medicaid office to determine the specific requirements and application process for Kalydeco coverage.
03
Fill out the Medicaid application form, providing accurate and complete information.
04
Include any supporting documentation required, such as proof of income, residency, and medical necessity for Kalydeco.
05
Submit the completed application and supporting documents either online, by mail, or in-person according to your state's guidelines.
06
Follow up with the Medicaid office to ensure that your application is received and processed in a timely manner.
07
If approved, you will receive notification of your Kalydeco Medicaid coverage and any additional steps required for ongoing eligibility.
08
If denied, you may have the option to appeal the decision or seek alternative financial assistance programs.
09
Continue to stay informed about any changes in Medicaid regulations and requirements for Kalydeco coverage.

Who needs kalydeco medicaid?

01
Individuals diagnosed with cystic fibrosis (CF) and specific genetic mutations may require Kalydeco.
02
Kalydeco is approved for individuals aged 6 months and older who have specific CF gene mutations.
03
It is typically prescribed for patients with G551D, G1244E, G1349D, G178R, G551S, S1251N, S1255P, S549N, S549R, or R117H mutations.
04
A healthcare professional who specializes in CF treatment can determine if Kalydeco is appropriate for an individual based on their genetic test results and medical history.
05
Parents or guardians of children with CF mutations may also explore Kalydeco Medicaid coverage for their eligible dependents.

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