Fee-For-Service Clinical Prior Authorization

Refer to the VDP website Fee-for-service Clinical Prior Authorization page (txvendordrug.com/formulary/prior-authorization/ffs-clinical-pa) for the list of clinical prior authorizations HHSC implemented for people enrolled in traditional Medicaid.

Refer to the list of Medicaid FFS Prior Authorization Requests for forms. Refer to the instructions on each form for submission information.