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Get the free TMHP Radiology Prior Authorization Request Form ... - eviCore

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TMHP radiology prior authorization is a process required by the Texas Medicaid program to obtain approval for specific radiology services before they are rendered to ensure medical necessity and appropriate use of resources.
Healthcare providers who wish to provide certain radiology services to Texas Medicaid beneficiaries are required to file TMHP radiology prior authorization.
To fill out TMHP radiology prior authorization, providers must complete the prior authorization request form, provide necessary patient information, specify the requested services, and submit any supporting documentation as required.
The purpose of TMHP radiology prior authorization is to ensure that radiology services are medically necessary and to control healthcare costs by preventing unnecessary imaging procedures.
Information such as the patient's name, Medicaid number, the specific radiology service requested, clinical information justifying the service, and provider details must be reported on TMHP radiology prior authorization.
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