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HHSC Updates Clinical Prior Authorization Criteria Guides

Date: August 5, 2025

Attention: Providers

Effective date: August 15, 2025

Call to action: Texas Children’s Health Plan (TCHP) would like to inform providers of the updates made to the clinical prior authorization criteria.

How this impacts providers: Health and Human Services Commission (HHSC) has reviewed and revised the clinical prior authorization criteria guides outlined on the VDP website.

Next step for Providers: Providers should share this communication with their staff.

If you have any questions, please email Provider Relations at: providerrelations@texaschildrens.org. 

For access to all provider alerts: www.texaschildrenshealthplan.org/provideralerts.