Texas Medicaid: State-required prior authorization updates for medications

Effective Oct. 1, 2024, we’re adding new prior authorization requirements for certain medications and updating our clinical criteria for UnitedHealthcare Community Plan of Texas CHIP, STAR, STAR Kids and STAR+PLUS plans.

These changes are based on the updated Health and Human Services Commission: Texas Medicaid Preferred Drug List (PDL) and Prior Authorization (PA) Criteria  in the Texas Preferred Drug List report. Please use this information to determine if you must submit a prior authorization request or make note of the clinical criteria before prescribing these medications.

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