Texas Medicaid: State-required medication prior authorization updates

Effective March 1, 2025, we’re adding new prior authorization requirements and updating our clinical criteria for certain medications. This applies to UnitedHealthcare Community Plan of Texas CHIP, STAR, STAR Kids and STAR+PLUS plans.

These changes are based on Texas Health and Human Services updates to their Clinical Prior Authorization Criteria Guides. Please use this information to determine if you need to submit a prior authorization request or make note of the clinical criteria before prescribing these medications.