Get Ms Magnolia Health Ms-paf-0618 2016-2025

Filling out the MS Magnolia Health MS-PAF-0618 form online is an essential step in the prior authorization process for outpatient Medicaid services. This guide provides clear instructions for each section of the form to ensure you complete it accurately and efficiently.

Follow the steps to complete the form successfully.

1. Click ‘Get Form’ button to access the MS Magnolia Health MS-PAF-0618 online and open it in the form-filling area.
2. Enter the member information in the designated fields. This includes the member ID or Medicaid ID, date of birth, and any required details marked with an asterisk (*). Ensure the information is accurate.
3. In the requesting provider information section, input the requesting NPI (National Provider Identifier), TIN (Tax Identification Number), provider contact name, and phone number.
4. Fill out the servicing provider or facility information by entering the servicing NPI, TIN, provider/facility name, contact name, phone number, and fax number if necessary.
5. Complete the authorization request section. This step involves filling in the primary procedure code, any additional procedure codes, diagnosis codes, start and end dates, and the total number of units, visits, or days required for the service.
6. If applicable, answer the questions regarding therapy services for school-aged members (age 3-21) with disabilities or special needs, indicating whether the member is receiving therapy services at school and if an IEP has been completed.
7. Select the appropriate outpatient service type by entering the corresponding service type numbers in the provided boxes, ensuring they match the services being requested.
8. Review all entries and ensure that all required fields are completed, as incomplete forms will be rejected. Attach any supporting clinical information necessary for the authorization.
9. Once all information has been entered and verified for accuracy, you can save changes, download, print, or share the completed form as needed.

Ensure you complete your documents online for a smooth authorization process.