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HHSC - TMHP COVID-19 Guidance for New and Initial Medicaid Prior Authorizations

By Jennifer Elder posted Aug 27,2021 03:15 PM

  

To help ensure continuity of care during the COVID-19 response, HHSC has directed TMHP to move forward with processing new and initial prior authorization requests, including recertification requests, by relaxing document submission timeframes for providers if they are unable to provide certain required documentation during the COVID-19 emergency.

This direction will remain in effect through September 30, 2021. HHSC will provide more information if there are changes. This guidance applies to all state plan services, including:

  • Acute care services
  • Long-term services and supports
  • Personal assistance services
  • Personal care services
  • Community First Choice
  • Private duty nursing
  • Day activity and health services
  • Durable medical equipment and supplies
Please see the notice and additional information HERE.
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