Skip to main content

Submission of Radiology Prior Authorization Requests to Change April 1, 2024

Last updated on

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.

Effective April 1, 2024, all radiology prior authorization requests for Texas Medicaid fee-for-service clients must be submitted directly to the Texas Medicaid & Healthcare Partnership (TMHP).

Further details about this upcoming change will be provided in a future article, which will be posted in the Recent News section of the TMHP Prior Authorization web page.