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Texas Standard Prior Authorization Form Addendum Molina Healthcare of TexasADDADHD Stimulant Formulations (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 health insurance provider that offers services in the state of Texas.
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To fill out Molina Healthcare of Texas forms, individuals must provide information about the services received, the healthcare provider, and any costs associated with the service.
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The purpose of Molina Healthcare of Texas is to provide access to affordable healthcare services for individuals in the state of Texas.
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Information such as the date of service, the type of service received, the healthcare provider, and any costs associated with the service must be reported on Molina Healthcare of Texas forms.
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