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Updated Personal Care Services (PCS) Prior Authorization FAQs
Information posted May 1, 2009: This is an update to an article that was published on this website on March 20, 2009, titled “Personal Care Services (PCS) Prior Authorization FAQs.” Question # 4 on the frequently asked questions (FAQs) has been updated. The revised FAQ can be found on the “Alberto N. Related Information” topic web page on this website and will be published in the July/August 2009 Texas Medicaid Bulletin, No. 224. Click on the title to view the details.

The following is the updated information:

Question

Answer

What number of PCS hours should the provider give when a provider receives a provider notification letter with more than one time period?

When the provider notification letter includes two time periods, each of which has a beginning and ending date of service, the provider notification letter will specify the number of PCS hours to be delivered during each time period. It is the provider’s responsibility to ensure that the authorized hours are provided during the specified time period. TMHP will not send separate letters for each time period.

If providers have questions about the provider notification letter, they should call the TMHP PCS Prior Authorization Inquiry Line at 1‑888‑648‑1517 to verify the PCS authorization or obtain a copy of the provider notification letter.

Providers can download the revised FAQ by clicking here:

For more information, call the TMHP Contact Center at 1-800-925-9126.

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