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2012 Texas Medicaid Provider Procedures Manual

Volume 1, General Information : Section 5: Fee-for-Service Prior Authorizations : 5.5 Prior Authorization Submission Methods : 5.5.3 Radiology Prior Authorizations Through MedSolutions : Prior Authorizations to MedSolutions by Fax, Telephone, or Mail
When submitting radiology prior authorization requests to MedSolutions by fax or mail, providers must use the approved Form RL.1, “Radiology Prior Authorization Request Form” in the Radiology and Laboratory Services Handbook (Vol 2., Provider Handbooks).
Telephone: 1-800-572-2116
Fax: 1-800-572-2119
Mail: Texas Medicaid & Healthcare Partnership
730 Cool Springs Blvd., Suite 800
Franklin, TN 37067

Texas Medicaid & Healthcare Partnership
CPT only copyright 2011 American Medical Association. All rights reserved.