Provider Alert! Updated Clinical Prior Authorizations Criteria Guides
Date: September 8, 2023 Attention: All Providers Effective Date: July 31, 2023 Call to action: Texas Children’s Health Plan (TCHP) would like to let providers know that the Texas Health and Human Services (HHSC) updated multiple clinical prior authorization criteria guides effective July 31, 2023. How this impacts providers: HHSC updated the following clinical prior authorization criteria guides with the noted changes: Anxiolytics/Sedatives/Hypnotics (ASH) Ramelteon Corrected step 4 in the Ramelteon criteria logic and diagram. Diazepam Added GCNs for diazepam (45092, 14210) to the prior authorization table Cytokine...
