TMPPM 2011 > Radiology and Laboratory Services Handbook > Radiological and physiological laboratory services > Services, Benefits, Limitations, and Prior Authorization > Authorization Requirements for CT, CTA, MRI, fMRI, MRA, PET, and Cardiac Nuclear Imaging Services > Methods of Submission

3.2.5.3 Methods of Submission

Authorization requests for CT, CTA, MRI, fMRI, MRA, PET, and cardiac nuclear imaging studies for Texas Medicaid fee-for-service clients and Primary Care Case Management (PCCM) clients must be submitted to MedSolutions. MedSolutions is the TMHP subcontractor for high-tech radiology services. Authorization may be submitted to MedSolutions as follows:

•Online at www.tmhp.com, on the Radiology Prior Auth Services page, or at www.medsolutionsonline.com

•By telephone to 1-800-572-2116

•By fax to 1-800-572-2119

•By mail to:

Texas Medicaid & Healthcare Partnership
730 Cool Springs Blvd, Suite 800
Franklin, TN 37067

All prior authorization requests for outpatient urgent or emergent radiology services should be made by telephone in order to ensure a timely response. Requests for retroactive authorization may be submitted online using the MedSolutions prior authorization portal, or by telephone, fax, or mail.

Requests for authorization that are submitted by fax or mail must be submitted using the Radiology Prior Authorization Request Form.