BILLING NEWS

Updated Prior Authorization Forms for Texas Medicaid and CSHCN Available in March

Effective March 17, 2014, all prior authorization forms for Texas Medicaid and the Children with Special Health Care Needs (CSHCN) will be updated and available on the website. The prior authorization forms have been updated to accommodate the reporting needs for ICD-10. The prior authorizations will be approved based on the diagnosis appropriate for the dates of service instead of the dates of receipt.

Authorization DOS Appropriate Diagnosis Claims Date of Service
Before October 1, 2014 Submit ICD-9 Diagnosis Must use ICD-9 Diagnosis
After October 1, 2014 Submit ICD-10 Diagnosis Must use ICD-10 Diagnosis

SOURCE: Source
INDUSTRY NEWS TAGS: Medicaid Texas


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