Gavvy: Gov’t Code, Sec. 549.0260. Appeal of Prior Authorization Denial Under Medicaid Vendor Drug Program.

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Sec. 549.0260. Appeal of Prior Authorization Denial Under Medicaid Vendor Drug Program.

Text of section effective on April 01, 2025

Sec. 549.0260. APPEAL OF PRIOR AUTHORIZATION DENIAL UNDER MEDICAID VENDOR DRUG PROGRAM. A recipient of drug benefits under the Medicaid vendor drug program may appeal through the Medicaid fair hearing process a denial of prior authorization under this subchapter for a covered drug or covered dosage.

Added by Acts 2023, 88th Leg., R.S., Ch. 769 (H.B. 4611), Sec. 1.01, eff. April 1, 2025.

Gavvy last updated this database on: Sep 6, 2024