Reminder: Authorization Requirements and Code Configuration
[vc_row][vc_column][vc_column_text]As a reminder, Texas Children’s Health Plan continues to require authorization for the following service categories:
Bariatric surgery
Circumcision in children 1 year of age and older
General anesthesia for dental procedures for children 6 years and under (STAR and STAR Kids only)
Oral surgery and medically necessary dental procedures
Therapeutic and reconstructive breast procedures (including breast prosthesis)
TMJ diagnosis and treatment
Transplant services
Providers will be able to access a complete list of codes that require an authorization in these categories on the Texas Children’s Health Plan Provider Portal after August 30, 2018. You can access the Provider Portal at www.TexasChildrensHealthPlan.org/for-providers.[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_single_image image="4893" img_size="full" css_animation="appear"][/vc_column][/vc_row]