MedicaidPrior AuthMedium impact
Updated Pharmacy Clinical Prior Authorization Assistance Chart Now Available
Texas Medicaid·TX·Policy
We identified it
Feb 21, 2026
Summary
Texas HHSC has published a quarterly update to the Pharmacy Clinical Prior Authorization Assistance Chart, which shows which prior authorizations each Medicaid MCO uses and how they relate to the Vendor Drug Program. This chart helps providers understand varying prior authorization requirements across different Medicaid managed care organizations in Texas.
Action Required
Immediately: Review the updated Pharmacy Clinical Prior Authorization Assistance Chart on the VDP website to understand current prior authorization requirements for each Medicaid MCO. Use the MCO search tool to verify specific clinical prior authorization requirements for your patients' plans. Update staff procedures to check MCO-specific prior auth requirements before prescribing medications to Medicaid patients.