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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 : 5.5.3.3 Retroactive Authorization Requests

5.5.3.3
Retroactive authorization requests for outpatient diagnostic computed tomography (CT), magnetic resonance (MR), positron emission tomography (PET) and cardiac nuclear imaging services for Texas Medicaid fee-for-service clients must be submitted online to MedSolutions. The retroactive authorizations requests must be submitted to MedSolutions no later than 14 calendar days after the day on which the study was completed, regardless of the method of submission. If the retroactive authorization request is submitted after the allotted time, the authorization request will not be processed. Providers can refer to the TMHP website for MedSolutions’ contact information and methods of submission.

Texas Medicaid & Healthcare Partnership
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