How Long Does It Take to Get Approval or Denial for Prior Authorization?
The processing time for prior authorization requests in Texas Medicaid programs varies based on the urgency of the request:
Non-Urgent Outpatient and Elective Inpatient Services:Decisions are typically made within 3 business days.
Urgent Pre-Service Requests:Determinations are generally provided within 72 hours.
These timeframes are designed to ensure timely access to necessary medical services.