The Retailers Association (TRA) selected John McCord as their new Executive Director. McCord joins TRA after leading legislative efforts for the National Federation of Independent Business in Texas.
Also in Texas, the Vendor Drug Program (VDP) Medicaid provided an update to the Clinical Prior Authorization Assistance Chart. The Health and Human Services Commission (HHSC) requires MCOs to implement specific clinical prior authorizations for clients enrolled in managed care. Usage of other clinical prior authorizations will vary between MCOs at the discretion of each MCO. HHSC publishes a criteria guide for each prior authorization with a description of the steps in the evaluation process. All steps apply to traditional Medicaid claims processed by HHSC. The assistance chart identifies which clinical prior authorization each MCO uses and whether the MCO uses all or some of the steps in the evaluation process.
For more information, contact NACDS’ Mary Staples at 817-442-1155.