Update: Prior Authorization for DMEPOS Replacements Being Expedited Following Central Texas Floods
This notice revises the July 28, 2025, tmhp.com article titled “Prior Authorization Requests for DMEPOS Replacements Due to the Central Texas Floods Being Expedited.” TMHP is expediting processing for new prior authorizations and recertifications to replace flood-impacted DMEPOS and is waiving submission time frames and documentation requirements for those new replacement requests.
Important Updates
TMHP has lifted the requirement that clients be permanent residents of a disaster-designated county. Expedited prior authorization is available statewide through September 29, 2025, for Texas Medicaid and CSHCN clients who were affected by the 2025 Texas flooding in a declared disaster county. To qualify for the expedited process, providers must state that the request is due to the 2025 Central Texas floods and explain why the DMEPOS must be replaced.
Requirements for Expedited Prior Authorization
In the PA, state the need is due to the 2025 Central Texas floods and explain why replacement is required.
Keep documentation that DMEPOS were lost, destroyed, irreparably damaged, or unusable due to flooding.
Note: Services may be subject to retrospective medical-necessity review.
For help, call 800-925-9126 (TMHP Contact Center) or 800-568-2413 (TMHP-CSHCN).
