Effective 4/1/25: HHSC Revisions to the Uniform Opioid Policy

Date: 02/17/25

Superior HealthPlan follows the Texas Health and Human Services Commission (HHSC) Uniformed Managed Care Manual (UMCM) rules. HHSC is updating the Uniform Opioid Policy in UMCM Chapter 16.1 to address Centers for Medicare and Medicaid Services (CMS) compliance.

Please note the following:

• Effective April 1, 2025, all opioid prescriptions will be limited to a 10-day supply.
  • The requirement in 42 CFR §456.703 specifies that programs must have safety quantity limitations in place on opioid prescriptions for initial and subsequent prescriptions fills.
  • For more information please review HHSC’s Texas Medicaid and CHIP – Uniform Managed Care Manual webpage after April 1, 2025.
• Please work with your patients who may be using opioids for chronic pain to ensure they are aware of this upcoming change.

If you have any questions please reach out to Superior Pharmacy Services at 1- 866-768-7147, ext. 6081112.

You can also contact your local Account Manager. To access their contact information visit Find My Account Manager.