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Texas Standard Prior Authorization Form Addendum Molina Healthcare of Texas (Evolocumab) (Medicaid) This fax machine is located in a secure location as required by HIPAA Regulations. Complete / Review
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To fill out Molina Healthcare of Texas, follow these steps:
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Visit the official website of Molina Healthcare of Texas.
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Molina Healthcare of Texas is a managed care organization that provides healthcare services to Medicaid and Medicare beneficiaries in the state of Texas.
Healthcare providers and facilities that are contracted with Molina Healthcare of Texas are required to file claims for services provided to Molina members.
Providers can fill out Molina Healthcare of Texas claims electronically through the Molina Healthcare provider portal or by submitting paper claims via mail.
The purpose of Molina Healthcare of Texas is to provide cost-effective and quality healthcare services to Medicaid and Medicare beneficiaries in Texas.
Providers must report information such as the member's name, date of service, diagnosis and procedure codes, provider information, and any other necessary details for payment.
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