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Get MS Magnolia Health MS-PAF-0618 2020-2024
Determination within 3 calendar days and/or 2 business days of receiving all necessary information * INDICATES REQUIRED FIELD *0618* Expedited requests - I certify that following the standard authorization decision time frame could seriously jeopardize the member s life, health, or ability to attain, maintain, or regain maximum function. * Date of Birth MEMBER INFORMATION * Medicaid/Member ID (MMDDYYYY) Last Name, First REQUESTING PROVIDER INFORMATION * * Requesting NPI Requesti.
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Neuropsych FAQ
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Medicaid and MississippiCAN Pharmacy Prior Authorization Contacts PayerProvider ContactMississippi Medicaid Pharmacy PAToll-free: 877-537-0722 Phone: 601-359-6685 Fax: 877-537-0720MississippiCAN Magnolia Pharmacy Help DeskPBM is US Script, Inc. Toll-free: 800-460-89881 more row
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The Mississippi Division of Medicaid has contracts with three Coordinated Care Organizations, who are responsible for providing services to the Mississippi Medicaid beneficiaries who participate in the MississippiCAN program. All plans offer the same services Medicaid offers.
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Alliant Health Solutions is the current vendor responsible for prior authorization requests for fee-for-service (FFS) Medicaid beneficiaries. Please click here to direct you to the Alliant official website, or call Alliant directly at 1-888-224-3067.
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For more information, call the Provider and Beneficiary Services Call Center at 1-800-884-3222 or your designated field representative: https://medicaid.ms.gov/wp-content/uploads/2022/12/Provider-Field-Representatives.pdf if you need assistance.
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Contact. For providers or beneficiaries who need to contact the Mississippi Division of Medicaid, please use the below contact information. If you speak another language, assistance services, free of charge, are available to you. Call 1-800-421-2408 (Deaf and Hard of Hearing VP: 1-228-206-6062).
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Medicaid and MississippiCAN Pharmacy Prior Authorization Contacts PayerProvider ContactMississippi Medicaid Pharmacy PAToll-free: 877-537-0722 Phone: 601-359-6685 Fax: 877-537-0720MississippiCAN Magnolia Pharmacy Help DeskPBM is US Script, Inc. Toll-free: 800-460-89881 more row
-
The Mississippi Division of Medicaid has contracts with three Coordinated Care Organizations, who are responsible for providing services to the Mississippi Medicaid beneficiaries who participate in the MississippiCAN program. All plans offer the same services Medicaid offers.
-
Alliant Health Solutions is the current vendor responsible for prior authorization requests for fee-for-service (FFS) Medicaid beneficiaries. Please click here to direct you to the Alliant official website, or call Alliant directly at 1-888-224-3067.
-
For more information, call the Provider and Beneficiary Services Call Center at 1-800-884-3222 or your designated field representative: https://medicaid.ms.gov/wp-content/uploads/2022/12/Provider-Field-Representatives.pdf if you need assistance.
-
Contact. For providers or beneficiaries who need to contact the Mississippi Division of Medicaid, please use the below contact information. If you speak another language, assistance services, free of charge, are available to you. Call 1-800-421-2408 (Deaf and Hard of Hearing VP: 1-228-206-6062).
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