Medicaid · TX

Texas Medicaid

Texas Medicaid publishes coverage policies for 1 of the 4 sleep apnea treatments we track. Each is linked to its source document below.

By treatment

CPAP and PAP therapy

Policy published
Prior authorization Required
Initial qualification Not researched
Continued coverage Not researched
Utilization management Not required

Read the policy document →

Oral appliance therapy

Not published
Prior authorization Not published
Initial qualification Not published
Continued coverage Not published
Utilization management Not published

We searched Texas Medicaid's published policy library and did not find a policy covering this treatment. That does not mean it isn't covered — it means there is nothing published for a member to read. Where we looked →

Hypoglossal nerve stimulation

Policy not publicly readable
Prior authorization Not researched
Initial qualification Not researched
Continued coverage Not researched
Utilization management Not researched

Texas Medicaid's policy library is not readable without provider credentials, so we could not confirm whether a policy exists. Ask your plan directly for the medical policy covering this treatment — you are generally entitled to the criteria used to decide your claim. Where we looked →

Tirzepatide (Zepbound) for OSA

Not published
Prior authorization Not published
Initial qualification Not published
Continued coverage Not published
Utilization management Not published

We searched Texas Medicaid's published policy library and did not find a policy covering this treatment. That does not mean it isn't covered — it means there is nothing published for a member to read. Where we looked →

Last verified 2026-08-15. We record structured facts and link the source; we do not reproduce policy text. The document itself governs.

If you're denied

Texas Medicaid publishes its own appeal instructions. Start there, and note the deadline on your denial letter.

Texas Medicaid appeals process

How to appeal a sleep apnea denial →

Your specific plan may differ from Texas Medicaid's general policy, particularly if your coverage is through an employer. Policies are revised without notice. Nothing here is a guarantee of coverage or a substitute for confirming with your plan.