Notice Section
The Mississippi Division of Medicaid (DOM) provides notice of Prior Authorization changes on its Late Breaking News webpage. You can find past Late Breaking News updates or sign up to receive Late Breaking News email alerts at this link: https://medicaid.ms.gov/late-breaking-news/.
Lists of Services Requiring a Prior Authorization
• Pharmacy PA: Pharmacy Prior Authorization
• Non-pharmacy PA: Procedure Code PA Requirement
Prior Authorization Submission Process
• Pharmacy PA: https://medicaid.ms.gov/wp-content/uploads/2024/07/General-Prior-Authorization-Instructions-7_1_2024.V4-1.pdf
• Non-pharmacy PA: https://msmedicaid.telligen.com/
Prior Authorization Statistics
- Calendar Year 2024 Prior Authorization Reporting
- Calendar Year 2024 Pharmacy Prior Authorization Reporting
- Magnolia Health – Prior Authorization | Magnolia Health
- Molina Healthcare – Frequently Used Forms
- United Healthcare – Annual Prior Authorization Summary 2024 – UnitedHealthcare Communnity Plan of Mississippi
