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Prior Authorization Webinar

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Note: Texas Medicaid managed care organizations (MCOs) must provide all medically necessary, Medicaid-covered services to Medicaid members who are enrolled in their MCO. Administrative procedures, such as prior authorization, precertification, referrals, and claims and encounter data filing, may differ from traditional Medicaid (fee-for-service) and from MCO to MCO. Providers should contact the member’s specific MCO for details.

The Texas Medicaid & Healthcare Partnership (TMHP) is hosting a prior authorization (PA) live webinar on Friday, April 7, 2023, from 11 a.m. to noon.

The purpose of this training is to educate, assist, and support Medicaid and Children with Special Health Care Needs (CSHCN) Services Program providers that submit authorization and prior authorization requests.

The webinar will cover the following topics:

  • Prior authorization guidelines for Medicaid providers and CSHCN Services Program providers
  • Best practices for submitting requests
  • How to access PA on the Portal and additional training resources such as the PA on the Portal computer-based training (CBT)

To register, visit the registration page.

For more information, call the TMHP Contact Center at 800-925-9126 or the TMHP-CSHCN Services Program Contact Center at 1-800-568-2413.