Participating Providers

Behavioral Health

Fax all requests that require precertification to:
Inpatient: 1-877-434-7578
Outpatient: 1-800-505-1193

Medical (Non-Behavioral Health)

If an Outpatient Service requires precertification,
fax your request to 1-800-964-3627 or call:
Medicaid/FAMIS Providers: 1-800-901-0020


Pharmacy Prior Authorization information is available
on this website under the Pharmacy tab.

Non-participating providers

All services rendered by nonparticipating providers require precertification. If you are interested in joining our network, call our Provider Services team at 1-800-901-0020

For precertification requests:

Fax your requests to: 1-800-964-3627
Call our Provider Services team at: 1-800-901-0020 (Medicaid/FAMIS)