Retroactive Claim Form Process Ending December 31

November 18, 2022

HHSC will retire the Medicaid Retroactive Claim Request (HHS Form 1318) on December 31, 2022.  Beginning in January, pharmacy providers should contact the Pharmacy Benefits Access Help Desk directly and work with the customer service representatives for retroactive fee-for-service Medicaid claims.

Contact the help desk at 800-435-165 for more information.