If you are Texas Children’s Health Plan Member, we have tips that can help you deal with the severe weather. Learn more
Si eres miembro de Texas Children’s Health Plan, tenemos consejos que pueden ayudarte a lidiar con el clima severo. Aprende Más
Update to a Prior Authorization Requirement for Autism Services
Effective date: April 1, 2025
Call to action: The purpose of this communication is to inform providers that effective for dates of service on or after April 1, 2025, a prior authorization requirement will be updated for Autism Services for Texas Medicaid.
Applied Behavior Analysis (ABA) 90-day Treatment Extension
The prescribing provider signature will no longer be needed on the completed Comprehensive Care Program (CCP) Prior Authorization Request Form when requesting the 90-day treatment extension.
The initial treatment plan must be signed and dated by a prescribing provider for the full 180 days. The 90-day treatment extension is to continue the same treatment frequency or submit new goals, if needed.
Providers may refer to the Texas Medicaid Provider Procedures Manual (TMPPM), Children’s Services Handbook, subsection 2.3.11.4, “ABA 90-day Treatment Extension,” for additional information.
Next steps: 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, log into:www.texaschildrenshealthplan.org/provideralert