Texas Department of Insurance: Advisory Committee for the Standard Request Form for Prior Authorization of Prescription Drug Benefits

1. Call to order, Introductions and welcome, Antitrust statement. The meeting was convened by Debra Diaz Lara. This is a second meeting to address the benefit and take member comments. The Committee moved directly to agenda item 4. Reference: Insurance Code 1369.305(d). 2. Staff update regarding instructions for completing the Texas Standard Prior Authorization Request Form for Prescription Drug Benefits Beginning September 1, 2015, health benefit plan issuers must accept the Texas Standardized Prior Authorization Request Form for Prescription Drug Benefits if the plan requires prior authorization of a prescription drug or device. In addition to commercial issuers, the following public issuers must accept the form: Medicaid, the Medicaid managed care program, the Children’s Health Insurance Program (CHIP), and plans covering employees of the state of Texas, most school districts, and The University of Texas and Texas A&M Systems. Intended Use: Use this form to requ