Provider Alert! STAR Kids Prescription/Pharmacy Prior Authorizations Reinstated 4/15/17

Provider Alert! STAR Kids Prescription/Pharmacy Prior Authorizations Reinstated 4/15/17

PRESCRIPTION PRIOR AUTHORIZATION NOTIFICATION

Subject: STAR Kids Prescription/Pharmacy Prior Authorizations Reinstated 4/15/17

Effective 4/15/17, Texas Children’s Health Plan (TCHP) will enforce pharmacy prior authorization (PA) requirements for STAR Kids members

STAR Kids members who received a prescription between 11/1/16-4/15/17 were not subject to normal PA requirements. PA requirements were temporarily lifted during this period to help facilitate the transition to STAR Kids.

After 4/15/17, all prescriptions for STAR Kids members will be subject to normal PA documentation, including non-preferred drugs and drugs that require clinical edits. Some of your patients may have active prescriptions that require a prior authorization in order to be refilled after 4/15/17.

TCHP has mailed you a list of patients and medications that require PA documentation. Please submit prior authorizations for these members. Please contact your Texas Children’s Health Plan Provider Relations Manager for any questions.

PA forms can be found here: https://www.navitus.com/texas-medicaid-star-chip/priorauthorization-forms.aspx.

Fax completed PA forms to: 855-668-8553

Please call Navitus with any questions on PA’s: 877-908- 6023.

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