Updates to Authorization Letters and Approvals
Find the latest provider news, updates, and newsletters from Driscoll Health Plan. Check back often for important information, helpful resources, and program updates.
Authorization Requirement Updates - Pharmacy, Behavioral, Cardiac, Orthopedic _ 9.22.26
Authorization Requirement Updates - Pharmacy _ 9.22.26
Authorization Requirement Updates - Attention Pharmacy Update Abrysvo _ 9.21.26
Authorization Requirement Updates - DHP SIU Coding Accuracy
Authorization Requirement Updates - CHIP Member Copayment Refund _ 9.10.26
Authorization Requirement Updates - Telehealth _ 8.25.26
Authorization Requirement Updates - Appointment Availability Standards _ 8.11.26
Authorization Requirement Updates - New Login Process for All Texas Medicaid Providers _ 8.11.26
Authorization Requirement Updates - Cranial Remolding Orthosis _ 7.27.26
Authorization Requirement Updates -Pharmacy Non-Covered Surgical Service _ 7.27.26
Authorization Requirement Updates -Pharmacy Surgical Service _ 7.27.26
Authorization Requirement Updates - Parenteral Supplies _ 06.26.26
Authorization Requirement Updates - Pharmacy Services _ 06.26.26
TMHP IAMOnline Activation Email Sent June 8 2026_06.11.26
Authorization Requirement Updates - Texas Standard Prior Authorization Request Form_06.10.2026
Authorization Requirement Updates - Pharmacy Services (Q5156)_05.15.2026
DHP STAR Nueces and STAR Hidalgo Payment Consolidation_05.14.2026
2026 Texas PMP Prescriber Survey 5.8.262026 Texas PMP Prescriber Survey 5.8.26
TMHP Re-Validation Reminder_05.01.26
Authorization Requirement Clarification Dialysis Service_04.17.2026
Authorization Requirement Clarification Cardiology Service_04.15.2026
Authorization Requirement Updates - DME, Neurosurgery, Pharmacy, and Audiology Services_04.01.2026
Attention CLIA Certification and Enrollment Through PEMS_03.23.2026
Authorization Requirement Updates - Radiation Cardiology Lab and Orthopedic Services_03.23.2026
Authorization Requirement Updates - Orthopedic and Wound Care Services_03.23.2026
Authorization Requirement Updates -Correction to Pharmacy Service Not a Covered Benefit_03.20.2026
Authorization Requirement Updates -Correction to Lab Pharmacy Services_03.20.2026
Authorization Requirement Updates -EPIC System Update and Authorization Changes_03.03.2026
Authorization Requirement Updates - Cardiology Services_01.26.2026
Authorization Requirement Updates - Pharmacy Therapy_01.26.2026
Authorization Requirement Updates - Change of Provider Requests_01.26.2026
Authorization Requests for Newborns_01.21.2026
Attention All Providers and Office Managers_(HEDIS)_01.19.2026
Authorization Requirement Updates - Pharmacy Services_01.13.2026
Authorization Requirement Updates - Therapy Services_01.13.2026
Authorization Requirement Updates - Pharmacy DME Wound Care Services _ 12.15.25
Authorization Requirement Updates - Pharmacy Pharmacy Services _ 12.15.25
Authorization Requirement Updates - DME Pharmacy PA _ 10.23.25
Availity Quick Claims Portal URL Change _ 10.22.25
Authorization Process Updates - Therapies _ 10.22.25
Authorization Requirement Updates- Pharmacy DME Orthosis Urology_10.09.25
Authorization Requirement Updates Pharmacy Radiology DME_10.09.25
Authorization Requirement Update_PDN UA Modifier Requirement_Effective 11.01.2025_10.01.25
Authorization Requirement Updates - Cardiovascular Service - Gastroenterology Service_09.19.25
Authorization Requirement Updates Clinician Administered Drugs_09.17.25
Authorization Requirement Update Clinician Administered Drugs_Effective 11.1.25_09.17.25
Attention Texas Flood Allowances for Appeals and Authorizations_08.25.25
Procedure Codes Which Do Not Require Prior Auth_08.21.2025
Attention Taxonomy Requirements for Applied Behavior Analysis (ABA) Providers _8.21.25
Medical Necessity Guidelines_08.06.2025
Attention - Rider 32 Provider Notification 07.18.25
Authorization Requirement Updates Clinician Administered Drugs_7.18.25
Authorization Requirement Updates Clinician Administered Drugs DME_7.18.25
Authorization Requirment Update - DME.Hematology 07.10.25
Authorization Requirement Update -DME.Pharmacy 07.10.25
Authorization Requirement Update - PT Treatment Status Post Select Orthopedic Procedures_06.26.2025
Authorization Requirement Update - PT Treatment Status Post Select Orthopedic Procedures_06.24.2025
Authorization Requirement Update - Updates_No Auth Required Procedure Codes_06.18.2025
Important Compliance Reminder (Incontinence Supply Quantities)_06.13.2025
Authorization Requirement Update - Trevimbra_06.13.2025
Authorization Requirement Update - Dual-Function Home Ventilator_06.13.2025
Authorization Requirement Update - Incontinence Supply Requests_06.04.2025
High-Cost Clinician Administered Drugs (HCCAD)_5.13.2025
Authorization Requirement Updates - Pharmacy_Rad Therapy_Podiatry Services_5.12.2025
Authorization Requirement Updates -Pharmacy_Wound Care_Gen Surgery Services_5.12.2025
New Availity Quick Claims Portal Now Availaible to DHP Providers_4.29.25
PEMS to Be Updated to Allow Provider Credentialing 4.17.25
Authorization Requirement Updates - Pharmacy_Pneumococcal Vaccine_3.24.2025
Authorization Requirement Updates - Therapy Services_3.24.2025
Authorization Requirement Updates - CFP Services_3.13.2025
Authorization Requirement Updates - Behavioral Health and DME Services_3.13.2025
Authorization Requirement Updates - Pharmacy_DME_and Other Services_3.12.2025
Authorization Requirement Updates - Pharmacy Services - Procedure Code J0889_1.08.2025
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
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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.
