Advocacy Update: HHSC Proposed Rules on Prior Authorizations (PAs) 9.8.23
HHSC has published proposed rules on prior authorizations (PAs) in the Texas Register, implementing the PA provisions in SB 1207, the 86th Regular Session in 2019.. The rules describe a uniform timeline and process for an MCO to use when reviewing a PA request submitted with incomplete or insufficient documentation. They also require an MCO to maintain on its website in a searchable format the applicable timelines for PA requirements, an accurate catalog of coverage criteria, and contact information for the MCO.
Read the full advocacy update.