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Update to CSHCN Services Program Provider Manual: Prior Authorization Requirements about Special Needs Car Seats

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Beginning March 1, 2023, the Texas Medicaid & Healthcare Partnership (TMHP) will update the Children with Special Health Care Needs (CSHCN) Services Program Provider Manual, Durable Medical Equipment (DME), Chapter, “Prior Authorization Requirement for Car Seats,” to add clarifying language about special needs car seats.

The following are the revised and updated statements for prior authorization requirements for special needs car seats:

  • Providers must include documentation stating that the child weighs more than 40 pounds or is more than 40 inches in height (the actual height and weight must be provided).
  • Providers must include a description of the child’s postural condition, specifically including head and trunk control, including why a booster chair or seatbelt will not meet the child’s needs.

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