Frequently Used Forms
Prior Authorization
Behavioral Health Service Request Form Texas Standardized Prior Authorization Form for Prescription Drugs Texas Standardized Prior Authorization Request Form for Healthcare Services Medicaid Prior Authorization Guide Medicaid Prior Authorization Code Matrix Medicaid Prior Authorization Annual Review Change Log Medicaid Prior Authorization Annual Review Report Prior Authorization Assistance - Molina Important Contacts Types of Medicaid Notifications Medicaid Turn Around Times for Service Determinations Provider News Bulletin Prior Authorization Code Matrix- February 2021 Provider News Bulletin Prior Authorization Code Matrix - January 2021 Provider News Bulletin Prior Authorization Code Matrix - August 2020 -V2 Provider News Bulletin Prior Authorization Code Matrix - August 2020 Provider News Bulletin Prior Authorization Code Matrix - May 2020 Provider News Bulletin Prior Authorization Code Matrix - March 2020 Provider News Bulletin Prior Authorization Code Matrix - January 2020 Provider News Bulletin Prior Authorization Code Matrix - November 2019 Provider News Bulletin Prior Authorization Code Matrix - January 2020 Updates
Provider Information
Provider Services Look up Tool
Provider Services Look Up Tool - Nursing Facility
Behavioral Health Post-Partum Depression Toolkit
Assessing for Behavioral Health – A Medical Clinician Guide
Screening for IDD – A Medical Clinician Resource
STAR+PLUS Quick Reference Guide
CHIP and CHIP Perinate Quick Reference Guide
Provider Services & Service Coordination Contact Sheet
LTSS & Home and Community Based Services Quick Reference Guide
Depression Screening- Provider Tip Sheet
*Please visit the EDI section for ERA/EFT enrollment forms
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