![]() ![]() Prior Authorization call center phone numbers vary by health plan.Medications through an approved PA continue to receive the medications for 90 calendar days after the Septemexpansion or until theĮxpiration date of the PA, whichever is shorter. The MCOs must ensure that an individual receiving MCOs are required to follow certain requirements to ensure continuity of care for clients. Although prior authorization (PA) is required for non-preferred medications and medications subject to restrictions for clinical reasons,.The drug to avoid delays in obtaining it after September 1, 2014. (prior doctor's orders, reasons for the medication, etc.) you need to provide the MCO to expedite authorization for Explain that the individual is currently prescribed the medication and ask what documentation Is a non-preferred medication (whether or not on the Preferred Drug List), contact the managed care organization (MCO) after If an individual takes a medication that has previously needed a prior authorization, is in excess of the usual dosage or.Prior to September 1, 2014, individuals are encouraged to refill any currently prescribed and authorized medication using the.Transition, here are some proactive steps for you, as a provider, and your families to take to avoid any possible delay. To ensure individuals experience no delays in receiving necessary medications, particularly in the first weeks following the September 1, 2014 Multiple Disabilities (DBMD), Home and Community-based Services (HCS) or Texas Home Living (TxHmL). Or who receive services through one of the following IDD waivers: Community Living Assistance Support Services (CLASS), Deaf Blind with ![]() DADS has issued the following Provider Alerts or Bulletins: Steps to Alleviate Delays in Filling Needed Prescriptions for Individuals Affected by the STAR+PLUS Managed Care Expansion of Acute Care ServicesĮffective September 1, 2014, STAR+PLUS services for acute care only will be expanded to include some individuals who have Intellectual orĭevelopmental Disabilities (IDD) and live in an Intermediate Care Facility for Individuals with Intellectual Disability or Related Conditions (ICF-IID) ![]()
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