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  • Ms Magnolia Health Ms-paf-0618 2020

Get Ms Magnolia Health Ms-paf-0618 2020-2025

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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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).

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.

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.

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.

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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© 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
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
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