Prior Authorization and Utilization Review Procedures | Midpage

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Texas Statutes

Subchapter G

Prior Authorization and Utilization Review Procedures

540.0301Inapplicability of Certain Other Law to Medicaid Managed Care Utilization Reviews 540.0302Prior Authorization Procedures for Hospitalized Recipient 540.0303Prior Authorization Procedures for Nonhospitalized Recipient 540.0304Annual Review of Prior Authorization Requirements 540.0305Physician Consultation Before Adverse Prior Authorization Determination 540.0306Reconsideration Following Adverse Determinations on Certain Prior Authorization Requests 540.0307Maximum Period for Prior Authorization Decision; Access to Care