New Prior Authorization Requirements for Texans on Medicare in 2026 New Prior Authorization Requirements for Texans on Medicare (2026): Whatâs Changing and How to Protect Your Care Prior authorization (often shortened to âprior authâ or âpreauthâ) is the insurerâs âgreen lightâ that certain services are medically necessary before they are performed or paid. For many Texans, 2026 brings two big shifts: Original Medicare (Part A/B) is expanding prior authorization in Texas for certain outpatient surgery-center procedures, and Medicare Advantage plans must meet tighter federal rules for how fast they decide prior auth requestsâand how transparent they are about the process. Below is whatâs changing, who it affects, and practical steps to avoid delays. Original Medicare Prior Auth for Certain ASC Procedures If youâre ...via Claeys Group Insurance Services - Tyler, TX Medicare Insurance Agency












