Forms and Resources
- Prior Authorization List (PDF)
- Inpatient Prior Authorization Form (PDF)
- Outpatient Prior Authorization Form (PDF)
- Supplemental Prior Authorization Form (PDF)
- Prior Authorization Tips - Urgent Requests
- Prior Authorization Tips - Timeliness of Prior Authorization Requests
- Prior Authorization Tips - Doctor's Orders
- Prior Authorization Tips - Do Not Use Copies of Old PA Forms
- Prior Authorization Tips - How to Fill Out the PA Form
- Prior Authorization Tips - Removal of PA for Observation, CPAP and BiPAP
Magnolia Health offers an electronic, fillable form for providers to request a Physician-to-Physician Peer-to-Peer discussion regarding medical necessity determinations. This process allows the requesting provider to speak directly with a Magnolia Health Medical Director to review a denied service or treatment.
For Wellcare information, please visit our Wellcare website.
For Ambetter information, please visit our Ambetter website.