The PA on the Portal CBT contains an explanation of the PA process and three simulations that demonstrate how to navigate the PA on the Portal tool.
The first simulation demonstrates how to submit a prior authorization request. This includes completing an eligibility pre-check, identifying essential/critical fields, and locating where to attach documents.
The second simulation demonstrates how to check the status of prior authorizations. This includes using the Status Dashboard for an easy way to check the status of your request, search by Requesting Provider, Performing Provider, or PAN, and identifying different types of statuses.
The third simulation demonstrates how to save a prior authorization draft and template. This includes locating where you can access saved drafts and templates.
This training has been designed to give you the most up-to-date information as of the publication date. It is your responsibility to regularly review the current Texas Medicaid Provider Procedures Manual (TMPPM), the Children with Special Health Care Needs (CSHCN) Services Program Provider Manual, and all updated information as it is published on the Texas Medicaid & Healthcare Partnership (TMHP) website at www.tmhp.com.