Tex. Gov’t Code § 533.00284. Reconsideration Following Adverse Determinations on Certain Prior Authorization Requests: Medicaid Managed Care Program – Texas

Status: Enacted
Year Enacted: 2019
File: Download

In consultation with the state Medicaid managed care advisory committee, the commission shall establish a uniform process and timeline for Medicaid managed care organizations to reconsider an adverse determination on a prior authorization request that resulted soley from the submission of insufficient or inadequate documentation.

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