Provider Alerts! Cosentyx Clinical Prior Authorization Criteria Revision Scheduled for November 22
Date: October 25, 2022
Attention: Providers
Effective Date: October 1, 2022
Providers should monitor the Texas Children’s Health Plan (TCHP) Provider Portal regularly for alerts and updates associated to the COVID-19 event. TCHP reserves the right to update and/or change this information without prior notice due to the evolving nature of the COVID-19 event.
Call to action: Texas Children Health Plan (TCHP) will revise clinical prior authorization criteria for Cosentyx to comply with the recent Food and Drug Administration-approved age indications.
How this impacts providers: Effective November 22, 2022, TCHP will expand the age requirement to 2 years and older for psoriatic arthritis only.
Next steps for providers: Updated PA forms can be found on Navitus. Prescribers should share this communication with their staff.
If you have any questions, please email Provider Network Management at: providerrelations@texaschildrens.org.
For access to all provider alerts, log into:
www.thecheckup.org or www.texaschildrenshealthplan.org/for-providers.
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