April 01, 2023

Signature requirement policy change for Medicaid home health services

As of Sept. 21, 2022, the Texas Medicaid and Healthcare Partnership (TMHP) changed their signature requirements to let Medicaid-enrolled physicians and other allowed health care professionals sign prior authorizations and order Medicaid home health services.

We’ve updated our policies and standard operating procedure to align with this change. TMHP has started processing prior authorization requests according to the updated rules and the Texas Medicaid Provider Procedures Manual will be updated as well.

Allowed health care professionals who are affected

The following health care professionals can order home health services:

  • Physician assistant
  • Advanced practice registered nurse
  • Licensed certified nurse practitioner
  • Clinical nurse specialist

Ordering home health services

The following home health services can now be ordered by Medicaid-enrolled health care professionals:

  • Health aid services
  • Durable medical equipment and supplies
  • Adult physical and occupational therapy services

Learn more

For more information, visit


If you have questions, you can call:

  • Your provider advocate
  • Customer Service at 888-887-9003
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