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Update to “Updated CSHCN Prior Authorization Request for Medical Nutritional Products Form and Instructions Effective November 1, 2021”

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This is an update to the article titled “Updated CSHCN Prior Authorization Request for Medical Nutritional Products Form and Instructions Effective November 1, 2021,” which was posted on this website October 22, 2021.

Requests Submitted Through the Prior Authorization Portal

Providers that are requesting medical nutritional products must use the checkbox for medical nutritional products when selecting the requested services.

PA on the Portal screen showing Medical Nutritional Products as the requested service

For more information, call the TMHP-CSHCN Services Program Contact Center at 800-568-2413.