June 09, 2022

Texas Medicaid: Temporary prior authorization waiver for pediatric formula during shortage

We’re temporarily waiving pediatric formula prior authorization requirements during the nationwide formula shortage. This waiver is in place for your patients who are members of UnitedHealthcare Community Plan and the Texas Children’s Health Insurance Program. It’s meant to support you as you care for our members who rely on formula for their nutritional needs.

You don’t need to request prior authorizations for pediatric formula during this time. We won’t deny submitted claims and will process them accordingly during the nationwide formula shortage. We’ll put a notification in our Network News publication when the shortage is resolved and prior authorization requirements are scheduled to resume. 

We’re here to help. If you have questions about the temporary waiver, please reach out to your provider advocate directly or call Customer Service at 888-887-9003, 8 a.m.–6 p.m. CT, Monday–Friday.