Mental Health and Substance Use Services for Adult Members
Authorization Requirement Updates - Pharmacy, DME, and Home Infusion Services_10.23.2024
Authorization Requirement Updates - COVID-19 Vaccines_10.23.2024
Authorization Requirement Updates - Pharmacy and Allergy Services_10.09.2024
In Lieu of Services Provider Education_10.01.2024
Authorization Requirement Updates for Behavioral Health Services_In Lieu of Services_10.01.2024
Authorization Requirement Update - Therapy Re-evaluations_10.01.2024
Authorization Requirement Updates_Wound Care Services_10.01.2024
Authorization-Requirement-Updates-Pharmacy-Services 09.16.2024
Attention Provider Portal Update - New Referral Type 09.05.2024
Auth Req Updates - Neurotransmitter_Prev Med_and Dental Anes Services_2nd Notice 08.30.2024
Authorization Requirement Updates - General Surgery_Orthopedic_and Pharmacy Services 08.27.2024
Authorization Requirement Updates - GI and Resp. PCR Testing 08.06.2024
Authorization Requirement- Rural or Federal Heath Center, Pharmacy Services 07.18.2024
DHP Provider Portal and HEDIS 07.02.24Authorization Requirement Updates-06.28.24
Co-pays for CHIP COVID-19 services-06.28.24
TMPPM Update of Elevated Blood Lead Level-06.28.24
Hepatitis C Information Letter-6.14.24
Authorization Requirements-Pharmacy Services-4.11.24
Post-Partum Eligibility and Billing TMHP for Claims-3.28.24
Authorization Requirement Updates - Cardiology Services-3.27.24
EDI Claims Transactions Now Available through Availity-3.22.24
EDI Claims Transactions Now Available through Availity-3.13.24
EDI Claims Transactions Now Available through Availity-3.8.24
Change Healthcare/Optum Update-3.6.24
Change Healthcare/Optum Update-3.1.24
Change Healthcare/Optum Update-2.27.24
Change Healthcare/Optum Update-2.23.24
Change Healthcare/Optum Update-2.22.24
Download - Provider Newsletters: April 2023 PDF
Download - Provider Newsletters: August 2023 PDF
Download - Provider Newsletters: October 2023 PDF
Download - Provider Newsletters: December 2023 PDF
Download - Provider Newsletters: April 2024 PDF
The vendor drug program manages the state Medicaid and CHIP formularies. The website is a great resource to determine if a medication is formulary or to determine which MCOs have implemented a prior authorization.
Texas Health & Human Services News Texas Health Steps Provider InformationPlease contact our representatives for support with member eligibility, benefits, prior authorizations, claims or other provider services.