Information posted June 30, 2020
Note: Texas Medicaid managed care organizations (MCOs) must provide all medically necessary, Medicaid-covered services to eligible clients. Administrative procedures such as prior authorization, pre-certification, referrals, and claims/encounter data filing may differ from traditional Medicaid (fee-for-service) and from MCO to MCO. Providers should contact the client's specific MCO for details.
This is an update to the article titled “Multiple Medicaid COVID-19 Flexibilities Extended through July 31, 2020,” which was published on this website on June 29, 2020.
The prior authorization policy information in the following notification is also being extended through July 31, 2020:
For more information, call the TMHP Contact Center at 800-925-9126.