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Texas Medicaid Guidance in Response to Abbott’s Voluntary Recall of Certain Powdered Formulas

Last updated on 2/28/2022

This article has been updated. To view the updated information, click here.

Note: Texas Medicaid managed care organizations (MCOs) must provide all medically necessary, Medicaid-covered services to eligible clients. Administrative procedures such as prior authorization, precertification, 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.

Abbott has initiated a voluntary recall of Similac products (including Alimentum, Total Comfort, Spit Up and Sensitive), and Elecare powdered formulas. Isomil, Neosure, and Similac PM 60/40 are not impacted. The voluntary recall is in response to consumer complaints related to Cronobacter sakazakii and Salmonella Newport.

Refer to the recall notification on the Abbott website for additional information: Abbott Voluntarily Recalls Powder Formulas Manufactured at One Plant - Feb 17, 2022 (mediaroom.com)

For existing prior authorizations of formulas affected by the recall, previously submitted documentation supporting medical necessity is sufficient to request the substitute powdered formula. Suppliers should be prepared to contact ordering providers and clients to assist with adjustments and replacing recalled powdered formulas at no cost to the client.

Additional information for physicians and other healthcare providers can be found at:

For more information, call the TMHP Contact Center at 800-925-9126 or the TMHP-CSHCN Services Program Contact Center at 800-568-2413.