Texas Government Code 540.0855 – Utilization Review of Prior Authorizations
Current as of: 2024 | Check for updates
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At least once every two years, the commission shall conduct a utilization review on a sample of cases for children enrolled in the STAR Kids managed care program to ensure that all imposed clinical prior authorizations are based on publicly available clinical criteria and are not being used to negatively impact a recipient’s access to care.
Text of section effective on April 01, 2025