Quick, answer these questions…

• Which Texas Managed Care Organization (MCO) requires prior auth for a resident evaluation?
• Which MCO requires number of previous visits for a continued auth?
• Which MCO prefers that you use fax to submit prior auth requests?

If you’re not clear on how to accurately manage the MCO Prior Authorization process with the five different Texas MCOs, now there’s a quick, easy way to find those answers.

On May 19, SimpleLTC partnered with Texas Medicaid Coalition to present a free 90-minute webinar for Texas facilities entitled, “6 Keys to success in the new MCO environment”. The goal was to provide important updates regarding the new Texas STAR+PLUS Medicaid Managed Care/MCO structure.

With more than 500 people participating in the live webinar, and many more watching it on-demand since then, it’s clear that the learning curve has been steep and that more knowledge and training are needed.

One of the main topics of the webinar – and the area that drew the most questions – was how to accurately manage the MCO Prior Authorization process with the five different MCOs in Texas.

Our presenter, Kelly Roberts Treta of Creative Solutions in Healthcare, took the initiative to create a crosswalk to help guide Texas long-term care facilities through the maze of MCO requirements. By popular demand, we’ve created a PDF version of the crosswalk that’s easy to download, print and share with your colleagues.

Download the crosswalk

Help us keep the crosswalk up to date!

Texas managed care is a moving target. As such, we expect the information in the crosswalk to change over time. As you learn of items that need to be updated or added, please let us know at support@simpleltc.com so we can update the document for everyone’s benefit. And as always, feel free to contact our Support Team with any questions.