Beginning Aug. 1, 2019, Alliant Health Solutions will begin performing prior authorization reviews as the Mississippi Division of Medicaid (DOM) transitions to a new Utilization Management/Quality Improvement Organization (UM/QIO) vendor. Alliant was awarded the new UM/QIO contract earlier this year, and will replace the current vendor, eQHealth Solutions, to review and process prior authorizations for fee-for-service Medicaid.
Prior authorizations for beneficiaries enrolled in MississippiCAN will continue to be handled by the respective coordinated care organizations.
All prior authorization reviews in process before Aug. 1 will be completed by eQHealth as part of the transition to Alliant. Therefore any requests submitted on or before July 31 will be handled by eQHealth and providers will submit related inquiries, requested information and documentation to eQHealth during the month of August. This UM/QIO transition applies to all prior authorization services currently reviewed by eQHealth with the exception of advanced imaging services, which will continue to be handled by eQHealth.
It is important for providers to be on the lookout for any communications or materials from Alliant. Both DOM and Alliant will provide more information and updates as they become available. Additionally, instructions and educational materials will be developed and shared through a variety of communications avenues to ensure no provider lacks access to necessary resources.
For information on service authorization processes and provider education opportunities, please visit Alliant’s Mississippi Medicaid portal at https://ms.allianthealth.org.
If you have any questions about this upcoming transition, please contact the Office of Medical Services at 601-359-6150.