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MississippiCAN Prior Authorization Information

Medicaid and MississippiCAN Pharmacy Prior Authorization Contact Information

Payer Provider Contact Information Beneficiary Contact Information
Mississippi Medicaid
Pharmacy PA
Toll-free: 877-537-0722
Phone: 601-359-6685
Fax: 877-537-0720
Toll-free: 800-421-2408
Phone: 601-359-6050
Magnolia Health
Pharmacy Help Desk
PBM is US Script, Inc.
Toll-free: 800-460-8988
Toll-free: 866-912-6285
Phone: 601-863-0700
United Healthcare
Pharmacy Help Desk
PBM is OptumRX
Toll-free: 877-305-8952
Toll-free: 877-743-8731

 

Keep in mind that MSCAN claims and PA requests must be submitted to the respective PBM. Submitting claims and/or prior authorization requests to MS Medicaid rather than to the respective plan delays the process for Medicaid, providers and beneficiaries.

Non-Mental Health Service

Click on the link below to access the Magnolia Prior Authorization form for non-mental health service.

Click on the link below to access the United Healthcare Prior Authorization form for non-mental health service.