The prescribing provider may request reconsideration if the prior authorization request is denied.

Prescribing providers should contact the Texas Prior Authorization Call Center for the fee-for-service Medicaid prior authorization reconsideration process. Refer to the Medicaid FFS Prior Authorization Requests for the Texas Medicaid Prior Authorization Reconsideration Request (HHS Form 1322).

Prescribing providers should contact the MCO for its reconsideration process for clients enrolled in managed care.