MCO Resources

Aetna Better Health

• Clinical prior authorizations

Amerigroup

• Clinical prior authorizations

Blue Cross Blue Shield

• Clinical prior authorizations

Children's Medical Center

• Clinical prior authorizations

Cigna-HealthSpring

• Clinical prior authorizations

Community First Health Plan

• Clinical prior authorizations

Community Health Choice

• Clinical prior authorizations

Cook Children's

• Clinical prior authorizations

Dell Children's Health Plan

• Clinical prior authorizations

Driscoll

• Clinical prior authorizations

El Paso First Health

• Clinical prior authorizations

FirstCare

• Clinical prior authorizations

Molina Healthcare of Texas

• Clinical prior authorizations

Parkland Community Health

• Clinical prior authorizations

Scott & White

• Clinical prior authorizations

Superior

• Clinical prior authorizations

Texas Children's

• Clinical prior authorizations

United Healthcare

• Clinical prior authorizations

Pharmacy Resources

• Pharmacy MCO Enrollment Chart (PDF)
• Pharmacy MCO Assistance Chart (PDF)
• Service Delivery Area Assistance Chart (PDF)

Prescriber Resources

• Prescriber MCO Assistance chart (PDF)
• Texas Medicaid Provider Procedures Manual

MCO Resources

• Managed Care Resources Update Request (HHS Form 1344) (PDF)
• MCO Quarterly Clinical Prior Authorization Reporting Crosswalk (XLS)
• Drug Non-Risk Payment (PDF)
• Managed Care Contracts and Manuals