*Services may be listed that are not covered benefits, whether they do or do not require precertification. Verify benefit coverage prior to rendering services.
To determine coverage of a particular service or procedure for a specific member:
Access eligibility and benefits information on the Availity Web Portal or
Call Provider Services at 844-405-4296 (Medicaid/FAMIS) or 1-855-817-5788 (MMP)
Use the Prior Authorization tool above or within Availity.
If the service/procedure requires preauthorization, visit the Availity Web Portal.
To request authorizations:
From the Availity home page, select ‘Patient Registration’ from the top navigation.
Select ‘Auth/Referral Inquiry’ or ‘Authorizations’.