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Forms

  • C-Section Concurrent Review Fax
  • Complaint
  • Concurrent Review Fax
  • Continuous Glucose Monitor Prior Authorization Form
  • General DME Prior Authorizaiton Form
  • Infant Formula Prior Authorization Form
  • Inpatient Psych Concurrent Fax
  • Inpatient Psych (Over21) Prior Authorization Fax
  • Inpatient Psych (Under21) Prior Authorization Fax
  • Prior Authorization Fax
  • Rehabilitation Prior Authorization Fax
  • Seating and Mobility Evaluation
  • Speech Generating Device Evaluation
  • Telligen Case Management Referral
  • Wheelchair Repair Prior Authorization Form

Qualitrac

Provider Communication

  • Provider Notice – MCG Cite AutoAuth

Provider Resources

  • Select PreAuth List

Provider Education

  • AutoAuth Desk Guide

Manuals & User Guides

  • Auto-Authorization FAQ
  • New Concurrent Review Submission Process
  • Physician Fee Schedule (under Current Fee Schedules)
  • Prior Authorization Codes
  • Provider Manual
  • Qualitrac User Guide

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