Effective Aug. 1, 2019, Alliant Health Solutions is now performing prior authorization reviews for the Mississippi Division of Medicaid as the agency’s new Utilization Management/Quality Improvement Organization (UM/QIO) vendor.
All prior authorization reviews in process before Aug. 1 will be completed by eQHealth Solutions 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.
Prior authorizations for beneficiaries enrolled in MississippiCAN will continue to be handled by the respective coordinated care organizations.
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.
Alliant has scheduled a series of informational webinars with two dates remaining in August. To sign up for a webinar, or to learn more about these changes, visit Alliant’s Mississippi Medicaid portal.