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Page 1 of 2 Medication Informed Consent Document For Behavioral or Psychiatric Conditions FOR PA REQUEST FOR MEDICAID BENEFICIARIES, FAX FORM TO 18004245739 Physician AR Medicaid ID Number: Recipient.

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In Arkansas, an Arkansas Medicaid application may take three to six months for a final determination. This wait time may be longer or shorter depending on whether the application mentions any disabilities.

1-800 482-8988 or 501-682-8233 – Available Monday-Friday 8-4:30 p.m. Call center hours are Monday through Friday 8 a.m. until 5 p.m.

Fax PA Requests The Prescription Drug Prior Authorization form may be completed by the prescriber and faxed to Magellan Rx Management at 800-424-3260.

Separate authorization numbers are issued by Magellan Healthcare for each study that is authorized. What kind of response time can ordering providers expect for prior authorization? Generally, within 2 business days after receipt of request with full clinical documentation, a determination will be made.

Prescription drugs may be reimbursed under the Arkansas Medicaid Program pursuant to an order from an authorized prescriber. The prescriber must initiate the prior authorization (PA) for prescription drugs that require PA. The PA request must be completed and submitted by the prescriber.

Call or fax Magellan Customer Service for prior authorization before submitting your prescription: Phone: 1-800-424-7897. Fax: 1-800-424-7913.

Medicaid and ARKids First pay for covered surgeries in these centers. A referral from your PCP is usually required.

DHS administers the Arkansas Medicaid Program through the Division of Medical Services.

Arkansas Medicaid requires that some surgical procedures be authorized by AFMC prior to the performance of the procedure.

Magellan Rx Management provides comprehensive prescription drug benefits for Medicare-eligible retirees. Magellan has our own contract with the Centers for Medicare & Medicaid Services (CMS), to offer our Granite Alliance Insurance Company Employer Group Waiver Plan (EGWP).

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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