NewsChange in Prior Authorization for Medicaid ClientsSep 4, 2009TMHP has announced and implemented changes in the process for obtaining PAN numbers for Medicaid Clients. The information they posted is pasted below. Prior authorization is required for all nonemergency ambulance transport. The special evening and weekend hours for submitting prior authorization requests by telephone will end on September 1, 2009. Providers may continue to submit prior authorizations on this website or fax a copy of the Ambulance Fax Cover Sheet to the TMHP Ambulance Unit at 1-512-514-4205. Hospitals may continue to call TMHP at 1-800-540-0694 to request prior authorization Monday through Friday, 7 a.m. to 7 p.m., Central Time. Other prior authorization changes include the following: · A request for a one-day transport may be submitted on the next business day following the transport in some circumstances; however, every attempt should be made to obtain prior authorization before the transport takes place. · A request for a recurring transport must be submitted before the client is transported by ambulance. · A request may be granted for a period of up to 180 days. Authorization requests for one day transports submitted beyond the next business day period will be denied. Appeals for denied authorizations may not be appealed by the provider. Additional information regarding nonemergency ambulance transport prior authorization and the authorization process may be found in the 2009 Texas Medicaid Provider Procedures Manual section 8.3.2 “Nonemergency Ambulance Services,” on page 8-9. For more information, call the TMHP Contact Center at 1-800-925-9126. |
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