New Resource: Texas Medicaid Pharmacy Prior Authorization Tip Sheet
Date: September 9, 2026
Attention: All Providers
Texas Children's Health Plan has developed a new Texas Medicaid Pharmacy Prior Authorization (PA) Tip Sheet to help providers understand common PA requirements and submit complete supporting documentation.
The tip sheet explains:
- PDL Prior Authorization (Step Therapy) vs. Clinical Prior Authorization
- True trial and failure requirements
- Documentation needed to support PA requests
- Tips to help reduce authorization delays
Next step for providers: Providers are encouraged to share this new resource 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.