235.040 Prior Authorization Approval

235.040

Prior Authorization Approval: The Texas Medical Association supports that (1) the criteria for prior approval for patient referrals, tests, surgeries, procedures, and medications be available to all physicians at the time of the request for such action; (2) the types of patient referrals, tests, surgeries, procedures, and medications that typically require prior authorization be kept to a minimum, and such criteria be available to the physician and staff in a transparent manner; and (3) prior approval for patient referrals, tests, surgeries, procedures, and medications be handled in a timely fashion, appropriate to facilitate treatment of the illness for which the test or intervention is being sought (Res. 403-A-19).

Last Updated On

June 20, 2019