March 18, 2022
Pharmacy providers enrolled with HHSC are in a unique position to help individuals with their pharmacy benefits. It’s important for a pharmacy to know what pharmacy items Medicaid pays for, which products require prior authorization, and who to contact with questions about claim processing. More information is available about the following topics:
- Free Pharmacy Continuing Education Module
- Texas Health Steps Quick Courses
- 72-hour emergency overrides for prior authorization-required drugs
- Medicaid managed care pharmacy claims billing information
- Enrolling in the Medicaid Comprehensive Care Program
- Enrolling as a durable medical equipment pharmacy provider
- Eligibility verification tools
Refer to the education section in the pharmacy procedure manual for links to more education resources, including downloadable materials and the TMHP Learning Management System.