Provider Alert! Sleep Study Prior Authorization Update

Provider Alert!

Provider Alert! Sleep Study Prior Authorization Update

Date: August 19, 2021

Attention: Primary Care Providers , Neurologists

Effective Date: December 1, 2021

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: Effective December 1, 2021, Texas Children’s Health Plan will require a prior authorization for sleep studies for Members ages over 18 years old. This applies to the following CPT Codes: 95805, 95810, and 95811.

How this impacts providers: When applicable, providers should utilize this Standard Prior Authorization Form and request an authorization.

Medical Services Fax Line – 832-825-8760 or Toll-Free 1-844-473-6860

Next steps for providers: Providers should share this prior authorization update with their staff.

If you have any questions, please email Provider Network Management at:
For access to all provider alerts, log into: or

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