Skip to main content

You must have JavaScript enabled in order to access this part of the site. Please enable JavaScript and then reload this page in order to continue.

Update to TMPPM Clinician-Administered Drugs Handbook

Last updated on

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.

Beginning October 1, 2018, TMHP will update the Texas Medicaid Provider Procedures Manual, Clinician-Administered Drugs Handbook to include benefit criteria and prior authorization requirements in Section 28, “Inotuzumab ozogamicin (Besponsa).”

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