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
Coming Soon
