May 19, 2023
On July 27, 2023, HHSC will implement the pulmonary hypertension agents clinical prior authorization (PDF).
This clinical prior authorization is optional for managed care organizations (MCOs).
The Pharmacy Clinical Prior Authorization Assistance Chart shows each MCO's prior authorizations and how these authorizations relate to those that are used for processing fee-for-service Medicaid claims. This chart is updated quarterly. Providers can refer to the MCO Resources page for links to each MCO's list of clinical prior authorizations.