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Texas Standard Prior Authorization Form Addendum Molina Healthcare of Texas Cough and Cold 2 to 10 Years Old (Medicaid) This fax machine is located in a secure location as required by HIPAA Regulations.

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Molina Healthcare of Texas is a managed care organization that provides health insurance plans.

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Information such as medical services received, provider details, and costs may need to be reported on Molina Healthcare of Texas forms.

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