Clinical Prior Authorization Criteria Updates
Date: December 16, 2024
Attention: Providers
Call to action: Texas Children’s Health Plan (TCHP) would like to let providers know that the Texas Health and Human Services (HHSC) has updated multiple clinical prior authorization criteria guides.
How this impacts providers: HHSC reviewed the following clinical prior authorization criteria guides and made updates. The list of revisions is on available on Navitus page.
The following drug categories are impacted:
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Next step for Providers: Providers should visit the Navitus page to become familiar with the changes and share this information with their staff.
If you have any questions, please email Provider Relations at: providerrelations@texaschildrens.org
For access to all provider alerts: https://www.texaschildrenshealthplan.org/provideralerts