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  • Ohio Uniform Authorization Form

Get Ohio Uniform Authorization Form

Ohio Uniform Authorization FormAetna: 8557349389 (routine) / 8557349393 (expedited) Buckeye: (Medicaid) 8666943649 Buckeye: (MyCare) 8777257751 CareSource: 9374871664 Molina: 8664496843 / UHC 8668396454Community.

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How can a prescriber submit prior authorizations? Requests for PA can be made by using the PA forms available at http://pharmacy.medicaid.ohio.gov/prior-authorization and faxing them to 1-800-396-4111.

The Ohio Medicaid Payer ID (receiver Id) is MMISODJFS.

All in-patient services require prior authorization. Please call 1-800-488-0134Navigate to tel:1-833-230-2101Navigate to tel:1-833-230-2101Navigate to tel:1-833-230-2101 to obtain prior authorization for emergency admissions. Outpatient emergency services do not require prior authorization.

Phone: 800-903-5253 • Fax: 855-225-9847; fax form is available at UHCprovider.com/MIcommunityplan > Prior Authorization and Notification Resources > Prior Authorization Paper Fax Forms.

Medicaid Prior Authorization Fax Numbers: Physical Health: 1-800-690-7030. Behavioral Health: 866-570-7517. Clinician Administered Drugs (CAD): 1-866-683-5631.

Call the Ohio Medicaid Hotline at 1-800-324-8680, Monday through Friday from 7 a.m. to 8 p.m., and Saturday from 8 a.m. to 5 p.m. TTY users should call the Ohio Relay Service at 7-1-1.

If you're an Ohio Medicaid member, call our Consumer Hotline at 800-324-8680. Otherwise, follow the links below for additional resources, or complete the Contact Us Form and we'll get back to you.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232