Note: In the coming weeks the Mississippi Division of Medicaid website will have a new look. The purpose of the website redesign is to help users find information more easily, provide more resources and refresh our look. Please continue to visit medicaid.ms.gov.
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ATTENTION If you are a MS MEDICAID PRESCRIBER, please submit your PA requests via the Envision Web Portal for most efficient processing. https://msmedicaid.acs-inc.com/msenvision/pharmacyPriorAuthAction.do

If you are a MS MEDICAID PRESCRIBER, but are not a registered  MS ENVISION WEB PORTAL USER, click here to register https://msmedicaid.acs-inc.com/msenvision/regUserSelection.do 


For MS Medicaid prescribers who are unable to submit PA via the web portal, fax your request to DOM-Pharmacy PA Unit at 1-877-537-0720.

Upcoming Drug Prior Authorization Form Changes – The 2013 State Legislature passed a bill that directs Health Insurance Issuers and the Division of Medicaid to use a single, standardized prior authorization form for obtaining any prior authorization for prescription drug benefits.

HB 301 Legislative Bill Summary


                                                                       
 




Pharmacy Prior Authorizations Phone line: 601-359-5253 or toll free 877-537-0722

Pharmacy Prior Authorizations Fax line: 1-877-537-0720


                                                  



CIVIL RIGHTS STATEMENT DISCLAIMER TERMS OF USE PRIVACY AND SECURITY NOTICE

Sillers Building, 550 High Street Suite 1000, Jackson, MS 39201-1399
telephone:  601-359-6050 or toll free: 1-800-421-2408