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2012 Texas Medicaid Provider Procedures Manual

Medicaid Managed Care Handbook : 2. Overview of Medicaid Managed Care : 2.8 Authorizations for Managed Care Services

2.8 Authorizations for Managed Care Services
Authorization requests for services administered by the client's MCO or dental plan must be submitted to the client's MCO or dental plan according to the guidelines specific to the plan under which the client is covered.
Health plan prior authorizations do not transfer with a client between plans. For payment to be considered when a client changes plans, providers must obtain prior authorization through the plan under which the client is covered for the date of service.
Dental prior authorizations may transfer from one dental plan to another.
Note:
Effective March 1, 2012, authorizations and claims for SSI clients who are enrolled in the STAR Program are submitted to the client's MCO or dental plan.

Texas Medicaid & Healthcare Partnership
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