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Prior Authorization

Prior authorization is a type of approval that is required for many services that are covered by Texas Medicaid and other State health-care programs.

PA on the Portal

Prior Authorization

Last updated on 5/31/2020

Prior authorization is a type of approval that is required for many services that providers render for Texas Medicaid. If a service requires prior authorization but the request for prior authorization is not submitted or is denied, the claim will not be paid.

You must follow the rules and regulations for prior authorizations that are published in the Texas Medicaid Provider Procedures Manual.

You can submit prior authorizations through PA on the Portal and on paper.

Helpful Links

To learn more about prior authorization, see the following resources: